UG Curriculum Vol II PDF

MEDICAL COUNCIL OF INDIA
COMPETENCY BASED UNDERGRADUATE CURRICULUM FOR

THE INDIAN MEDICAL GRADUATE
Knows Knows how Shows Shows how Performs
Enumerate Describe Observe Demonstrate Assist
Counsel Prescribe
Analyse
Integrate
Guide Communicate
Correlate Interpret
Critique
Collaborate
Clinician Communicator Team Leader Professional Lifelong Learner

Knowledge Skills Attitude Values Responsiveness Communication
COMPETENCY BASED UNDERGRADUATE CURRICULUM
FOR THE
INDIAN MEDICAL GRADUATE
2018
Medical Council of India

Pocket-14, Sector- 8, Dwarka
New Delhi 110 077

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दरू भाष/Phone : 25367033, 25367035, 25367036 पॉकेट -14, सेक्टर-8, द्वारका,
फैक्स /Fax : 0091‐11‐25367024 फेस-1, नई िदल्ली-110077

Pocket‐ 14, Sector‐ 8, Dwarka,
ई-मेल /E‐mail : mci@bol.net.in
Phase – 1, New Delhi‐110077
वेबसाईट /Website : www.mciindia.org
भारतीय आयुिवर्ज्ञान पिरषद के अिधबमण में शासी बोडर्

BOARD OF GOVERNORS
IN SUPERSESSION OF MEDICAL COUNCIL OF INDIA

FOREWORD

The Medical Council of India, aware of its responsibilities in creation of trained health manpower, has been engaged for the past few years in
updating the medical curriculum for undergraduates and postgraduates to be in consonance with the changing health needs of the country. The task
of updating and reorganization of the postgraduate curriculum in nearly 50 broad specialty disciplines to the competency pattern was accomplished
by the Academic Cell of the Council with the help of subject experts and members of its Reconciliation Board and have been uploaded on the Council
Website for use of the medical fraternity.
The Council visualized that the Indian Medical Graduate, at the end of the undergraduate training program, should be able to
recognize "health for all" as a national goal and should be able to fulfill his/her societal obligations towards the realization of this goal. To fulfill the
mandate of the undergraduate medical curriculum which is to produce a clinician, who understands and is able to provide preventive, promotive,
curative, palliative and holistic care to his patients, the curriculum must enunciate clearly the competencies the student must be imparted and must
have learnt, with clearly defined teaching-learning strategies and effective methods of assessment. The student should be trained to effectively
communicate with patients and their relatives in a manner respectful of the patient's preferences, values, beliefs, confidentiality and
privacy and to this purpose, a book on Attitude, Ethics & Communication was prepared by the Medical Council of India; the teaching faculty of
medical colleges have been receiving training on this module since 2015.
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दरू भाष/Phone : 25367033, 25367035, पॉकेट -14, सेक्टर-8, द्वारका,
25367036 फेस-1, नई िदल्ली-110077
फैक्स /Fax : 0091‐11‐25367024 Pocket‐ 14, Sector‐ 8, Dwarka,
ई-मेल /E‐mail : mci@bol.net.in Phase – 1, New Delhi‐110077
वेबसाईट /Website : www.mciindia.org
भारतीय आयुिवर्ज्ञान पिरषद के अिधबमण में शासी बोडर्

BOARD OF GOVERNORS
IN SUPERSESSION OF MEDICAL COUNCIL OF INDIA
-2-
Competency based Medical Education provides an effective outcome-based strategy where various domains of teaching including teaching
learning methods and assessment form the framework of competencies. Keeping this objective as the core ingredient, the Medical Council of India
with the help of panel of experts drawn from across the country, laid the basic framework for the revised undergraduate medical curriculum. Over the
past four years, a group of highly committed medical professionals working as Members of the MCI Reconciliation Board developed this information
into a document incorporating appropriate teaching-learning strategies, tools and techniques of teaching, and modes of assessment which have
culminated in the current competency based undergraduate curriculum. We understand that maximum efforts were made to encourage integrated
teaching between traditional subject areas using a problem-based learning approach starting with clinical or community cases and exploring the
relevance of various preclinical disciplines in both the understanding and resolution of the problem. All efforts have been made to de-emphasize
compartmentalisation of disciplines so as to achieve both horizontal and vertical integration in different phases. We are proud of their work
accomplishment and congratulate them in the onerous task accomplished.
It gives us great satisfaction to state that the 'competency based undergraduate curriculum' that has been prepared by the Medical Council of
India would definitely serve the cause of medical education and in creating a competent Indian Medical Graduate to serve the community.
BOARD OF GOVERNORS
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Contributors
1. Dr. Avinash Supe
Chairman, Reconciliation Board
Director (ME & MH) and Dean
Professor, Departments of G I Surgery and Medical Education
Seth GSMC and KEM Hospital
Mumbai - 400012
2. Dr. Krishna G. Seshadri
Member, Reconciliation Board
Member, Board of Management
Visiting Professor, Departments of Endocrinology, Diabetes and Medical Education
Sri Balaji Vidyapeeth
Puducherry - 607 403
3. Dr. Praveen Singh
Professor and Head, Departments of Anatomy and Medical Education
Convenor, MCI Nodal Centre
Pramukhswami Medical College
Karamsad, Gujarat - 388325
4. Dr. R. Sajith Kumar
Professor and Head, Departments of Infectious Disease and Medical Education
Convenor, MCI Nodal Centre
Government Medical College
Kottayam, Kerala - 686008
5. Dr. PV Chalam
Principal & Professor, Department of Surgery
Bhaskar Medical College, RR Dist.
Telangana - 500075
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6. Dr. Subir K. Maulik
Professor, Department of Pharmacology
All India Institute of Medical Sciences
New Delhi-110029
7. Dr. Dinesh Kumar Badyal
Professor and Head, Department of Pharmacology
Professor, Department of Medical Education
Co-Convenor, MCI Nodal Centre
Christian Medical College
Ludhiana - 141008, Punjab
8. Dr. Alka Rawekar
Professor, Departments of Physiology and Medical Education
Head, Department of Physiology
Co-Convenor, MCI Nodal Centre
Jawaharlal Nehru Medical College
Sawangi (Meghe), Wardha - 442004, Maharashtra
9. Dr. Sunita Y Patil

Professor, Departments of Pathology and Medical Education
Resource Faculty, MCI Nodal Centre
Jawaharlal Nehru Medical College, KLE Academy of Higher Education & Research
Belagavi - 590 010, Karnataka
10. Dr. M. Rajalakshmi

Chief Consultant, Academic Cell
Medical Council of India
New Delhi-110077
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Grant of Copyright to the Competency based Undergraduate Curriculum
The Competency based Undergraduate Curriculum for MBBS students prepared by subject experts was
scrutinized by members of the Reconciliation Board and Academic Cell. The contents, embodied in this
document, have received Copyright from the Register of Copyrights, Copyright Office, Government of
India with Registration Number L-63913/2016.
Reproducing any part of this document in any form must be with the prior written permission of the
competent authorities of the Medical Council of India.
The most recent version of this document may be obtained from the Medical Council of India.
How to cite this document: Medical Council of India, Competency based Undergraduate curriculum for the Indian Medical
Graduate, 2018. Vol. 1; pg --- (give page nos.)
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Contents
Vol. I
Sl. No. Subject Legend Page No.
(i) Preamble 11
(ii) How to use the Manual 14
(iii) Definitions used in the Manual 37
Competency based Undergraduate Curriculum in Pre-clinical and Para-
clinical subjects
1. Human Anatomy AN 41
2. Physiology PY 92
3. Biochemistry BI 119
4. Pharmacology PH 136
5. Pathology PA 160
6. Microbiology MI 205
7. Forensic Medicine & Toxicology FM 228
(iv) List of contributing subject experts 252
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Contents
Vol. II
Subject Legend Page No.

Sl. No.
(i) Preamble 11
Competency based Undergraduate Curriculum in Medicine and Allied
subjects
1. Community Medicine CM 41
2. General Medicine IM 60
3. Respiratory Medicine CT 143
4. Pediatrics PE 150
5. Psychiatry PS 203
6. Dermatology, Venereology & Leprosy DR 219
7. Physical Medicine & Rehabilitation PM 229
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Contents
Vol. III
Sl. No. Subject Legend Page No.
(i) Preamble 11
Competency based Undergraduate Curriculum in Surgery and
Allied subjects
1. General Surgery SU 41
2. Ophthalmology OP 79
3. Otorhinolaryngology EN 89
4. Obstetrics & Gynaecology OG 102
5. Orthopedics OR 130
6. Anesthesiology AS 145
7. Radiodiagnosis RD 154
8. Radiotherapy RT 160
9. Dentistry DE 163
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COMPETENCY BASED UNDERGRADUATE CURRICULUM
FOR
THE INDIAN MEDICAL GRADUATE
Preamble
The new Graduate Medical Education Regulations attempts to stand on the shoulder of the contributions and the efforts of resource persons, teachers and
students (past and present). It intends to take the learner to provide health care to the evolving needs of the nation and the world.
More than twenty years have passed since the existing Regulations on Graduate Medical Education, 1997 was notified, necessitating a relook at all aspects
of the various components in the existing regulations and adapt them to the changing demography, socio-economic context, perceptions, values and
expectations of stakeholders. Emerging health care issues particularly in the context of emerging diseases, impact of advances in science and technology and
shorter distances on diseases and their management also need consideration. The strong and forward looking fundamentals enshrined in the Regulations on
Graduate Medical Education, 1997 has made this job easier. A comparison between the 1997 Regulations and proposed Graduate Medical Education
Regulations, 2018 will reveal that the 2018 Regulations have evolved from several key principles enshrined in the 1997 Regulations.
The thrust in the new regulations is continuation and evolution of thought in medical education making it more learner-centric, patient-centric, gender-
sensitive, outcome -oriented and environment appropriate. The result is an outcome driven curriculum which conforms to global trends. Emphasis is made
on alignment and integration of subjects both horizontally and vertically while respecting the strengths and necessity of subject-based instruction and
assessment. This has necessitated a deviation from using “broad competencies”; instead, the reports have written end of phase subject (sub) competencies.
These “sub-competencies” can be mapped to the global competencies in the Graduate Medical Education Regulations.
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A significant attempt has been made in the outcome driven undergraduate curriculum to provide the orientation and the skills necessary for life-long learning
to enable proper care of the patient. In particular, the curriculum provides for early clinical exposure, electives and longitudinal care. Skill acquisition is an
indispensable component of the learning process in medicine. The curriculum reinforces this aspect by necessitating certification of certain essential skills.
The experts and the writing group have factored in patient availability, access, consent, number of students in a class etc. in suggesting skill acquisition and
assessment methods; use of skills labs, simulated and guided environments are encouraged. In the pre-internship years,- the highest level of skill acquisition
is a show how (SH) in a simulated or guided environment; few skills require independent performance and certification - these are marked with P (for
performance). Opportunity to ‘perform’ these skills will be available during internship.
The importance of ethical values, responsiveness to the needs of the patient and acquisition of communication skills is underscored by providing dedicated
curriculum time in the form of a longitudinal program based on Attitude, Ethics and Communication (AETCOM) competencies. Great emphasis has been
placed on collaborative and inter-disciplinary teamwork, professionalism, altruism and respect in professional relationships with due sensitivity to
differences in thought, social and economic position and gender.
In addition to the above, an attempt has been made to allow students from diverse educational streams and backgrounds to transition appropriately through a
Foundation Course. Dedicated time has been allotted for self directed learning and co-curricular activities.
Formative and internal assessments have been streamlined to achieve the objectives of the curriculum. Minor tweaks to the summative assessment have been
made to reflect evolving thought and regulatory requirements. Curricular governance and support have been strengthened, increasing the involvement of
Curriculum Committee and Medical Education Departments/Units.
The curriculum document in conjunction with the new Graduate Medical Education Regulations (GMR), when notified, must be seen as a “living document”
that should evolve as stakeholder requirements and aspirations change. We hope that the current GMR does just that. The Medical Council of India is
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grateful to all the teachers, subject experts, process experts, patients, students and trainees who have contributed through invaluable inputs, intellectual
feedbacks and valuable time spent to make this possible. This document would not have been possible without the dedicated and unstinting intellectual,
mental and time-consuming efforts of the members of the Reconciliation Board of the Council and the Academic Cell of MCI.
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How to use the Manual
This Manual is intended for curriculum planners in an institution to design learning and assessment experiences for the MBBS student. Contents created by
subject experts have been curated to provide guidance for the curriculum planners, leaders and teachers in medical schools. They must be used with
reference to and in the context of the Regulations.
Section 1
Competencies for the Indian Medical Graduate
Section 1 - provides the global competencies extracted from the Graduate Medical Education Regulations, 2018. The global competencies identified as
defining the roles of the Indian Medical Graduate are the broad competencies that the learner has to aspire to achieve; teachers and curriculum planners
must ensure that the learning experiences are aligned to this Manual.
Extract from the Graduate Medical Education Regulations, 2018
2. Objectives of the Indian Graduate Medical Training Programme
The undergraduate medical education program is designed with a goal to create an “Indian Medical Graduate” (IMG) possessing requisite
knowledge, skills, attitudes, values and responsiveness, so that she or he may function appropriately and effectively as a physician of first contact of
the community while being globally relevant. To achieve this, the following national and institutional goals for the learner of the Indian Medical
Graduate training program are hereby prescribed:-
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2.1. National Goals
At the end of undergraduate program, the Indian Medical Graduate should be able to:
(a) recognize “health for all” as a national goal and health right of all citizens and by undergoing training for medical profession fulfill his/her
social obligations towards realization of this goal.
(b) learn every aspect of National policies on health and devote herself/himself to its practical implementation.
(c) achieve competence in practice of holistic medicine, encompassing promotive, preventive, curative and rehabilitative aspects of common
diseases.
(d) develop scientific temper, acquire educational experience for proficiency in profession and promote healthy living.
(e) become exemplary citizen by observance of medical ethics and fulfilling social and professional obligations, so as to respond to national
aspirations.
2.2. Institutional Goals
In consonance with the national goals, each medical institution should evolve institutional goals to define the kind of trained manpower (or
professionals) they intend to produce. The Indian Medical Graduates coming out of a medical institute should:
(a) be competent in diagnosis and management of common health problems of the individual and the community, commensurate with his/her
position as a member of the health team at the primary, secondary or tertiary levels, using his/her clinical skills based on history, physical
examination and relevant investigations.
(b) be competent to practice preventive, promotive, curative and rehabilitative medicine in respect to the commonly encountered health problems.
(c) appreciate rationale for different therapeutic modalities, be familiar with the administration of the "essential drugs" and their common side
effects.
(d) be able to appreciate the socio-psychological, cultural, economic and environmental factors affecting health and develop humane attitude
towards the patients in discharging one's professional responsibilities.
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(e) possess the attitude for continued self learning and to seek further expertise or to pursue research in any chosen area of medicine, action
research and documentation skills.
(f) be familiar with the basic factors which are essential for the implementation of the National Health Programs including practical aspects of
the following:
(i) Family Welfare and Maternal and Child Health (MCH);
(ii) Sanitation and water supply;
(iii) Prevention and control of communicable and non-communicable diseases;
(iv) Immunization;
(v) Health Education;
(vi) Indian Public Health Standards (IPHS) at various level of service delivery;
(vii) Bio-medical waste disposal; and
(viii) Organizational and or institutional arrangements.
(g) acquire basic management skills in the area of human resources, materials and resource management related to health care delivery,
General and hospital management, principal inventory skills and counseling.
(h) be able to identify community health problems and learn to work to resolve these by designing, instituting corrective steps and evaluating
outcome of such measures.
(i) be able to work as a leading partner in health care teams and acquire proficiency in communication skills.
(j) be competent to work in a variety of health care settings.
(k) have personal characteristics and attitudes required for professional life including personal integrity, sense of responsibility and
dependability and ability to relate to or show concern for other individuals.
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All efforts must be made to equip the medical graduate to acquire the skills as detailed in Table 11 Certifiable procedural skills – A Comprehensive
list of skills recommended as desirable for Bachelor of Medicine and Bachelor of Surgery (MBBS) – Indian Medical Graduate, as given in the
Graduate Medical Education Regulations, 2018
2. 3. Goals for the Learner

In order to fulfil this goal, the Indian Medical Graduate must be able to function in the following roles appropriately and effectively:-
2.3.1. Clinician who understands and provides preventive, promotive, curative, palliative and holistic care with compassion.
2.3.2. Leader and member of the health care team and system with capabilities to collect, analyze, synthesize and communicate health data
appropriately.
2.3.3. Communicator with patients, families, colleagues and community.
2.3.4. Lifelong learner committed to continuous improvement of skills and knowledge.
2.3.5. Professional, who is committed to excellence, is ethical, responsive and accountable to patients, community and profession.
3. Competency Based Training Programme of the Indian Medical Graduate

Competency based learning would include designing and implementing medical education curriculum that focuses on the desired and observable
ability in real life situations. In order to effectively fulfil the roles as listed in clause 2, the Indian Medical Graduate would have obtained the
following set of competencies at the time of graduation:
3.1. Clinician, who understands and provides preventive, promotive, curative, palliative and holistic care with compassion
3.1.1 Demonstrate knowledge of normal human structure, function and development from a molecular, cellular, biologic, clinical, behavioral and
social perspective.
3.1.2. Demonstrate knowledge of abnormal human structure, function and development from a molecular, cellular, biological, clinical, behavioural
and social perspective.
3.1.3 Demonstrate knowledge of medico-legal, societal, ethical and humanitarian principles that influence health care.
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3.1.4 Demonstrate knowledge of national and regional health care policies including the National Health Mission that incorporates National Rural
Health Mission (NRHM) and National Urban Health Mission (NUHM), frameworks, economics and systems that influence health promotion,
health care delivery, disease prevention, effectiveness, responsiveness, quality and patient safety.
3.1.5. Demonstrate ability to elicit and record from the patient, and other relevant sources including relatives and caregivers, a history that is
complete and relevant to disease identification, disease prevention and health promotion.
3.1.6. Demonstrate ability to elicit and record from the patient, and other relevant sources including relatives and caregivers, a history that is
contextual to gender, age, vulnerability, social and economic status, patient preferences, beliefs and values.
3.1.7 Demonstrate ability to perform a physical examination that is complete and relevant to disease identification, disease prevention and health
promotion.
3.1.8 Demonstrate ability to perform a physical examination that is contextual to gender, social and economic status, patient preferences and values.
3.1.9 Demonstrate effective clinical problem solving, judgment and ability to interpret and integrate available data in order to address patient
problems, generate differential diagnoses and develop individualized management plans that include preventive, promotive and therapeutic
goals.
3.1.10 Maintain accurate, clear and appropriate record of the patient in conformation with legal and administrative frameworks.
3.1.11 Demonstrate ability to choose the appropriate diagnostic tests and interpret these tests based on scientific validity, cost effectiveness and
clinical context.
3.1.12 Demonstrate ability to prescribe and safely administer appropriate therapies including nutritional interventions, pharmacotherapy and
interventions based on the principles of rational drug therapy, scientific validity, evidence and cost that conform to established national and
regional health programmes and policies for the following:
i) Disease prevention,
ii) Health promotion and cure,
iii) Pain and distress alleviation, and
iv) Rehabilitation and palliation.
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3.1.13 Demonstrate ability to provide a continuum of care at the primary and/or secondary level that addresses chronicity, mental and physical
disability.
3.1.14 Demonstrate ability to appropriately identify and refer patients who may require specialized or advanced tertiary care.
3.1.15 Demonstrate familiarity with basic, clinical and translational research as it applies to the care of the patient.
3.2. Leader and member of the health care team and system
3.2.1 Work effectively and appropriately with colleagues in an inter-professional health care team respecting diversity of roles, responsibilities and
competencies of other professionals.
3.2.2 Recognize and function effectively, responsibly and appropriately as a health care team leader in primary and secondary health care settings.
3.2.3 Educate and motivate other members of the team and work in a collaborative and collegial fashion that will help maximize the health care
delivery potential of the team.
3.2.4 Access and utilize components of the health care system and health delivery in a manner that is appropriate, cost effective, fair and in
compliance with the national health care priorities and policies, as well as be able to collect, analyze and utilize health data.
3.2.5 Participate appropriately and effectively in measures that will advance quality of health care and patient safety within the health care system.
3.2.6 Recognize and advocate health promotion, disease prevention and health care quality improvement through prevention and early recognition:
in a) life style diseases and b) cancer, in collaboration with other members of the health care team.
3.3. Communicator with patients, families, colleagues and community

3.3.1 Demonstrate ability to communicate adequately, sensitively, effectively and respectfully with patients in a language that the patient
understands and in a manner that will improve patient satisfaction and health care outcomes.
3.3.2 Demonstrate ability to establish professional relationships with patients and families that are positive, understanding, humane, ethical,
empathetic, and trustworthy.
3.3.3 Demonstrate ability to communicate with patients in a manner respectful of patient’s preferences, values, prior experience, beliefs,
confidentiality and privacy.
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3.3.4 Demonstrate ability to communicate with patients, colleagues and families in amanner that encourages participation and shared decision-
making.
3.4. Lifelong learner committed to continuous improvement of skills and knowledge

3.4.1. Demonstrate ability to perform an objective self-assessment of knowledge and skills, continue learning, refine existing skills and acquire new
skills.
3.4.2. Demonstrate ability to apply newly gained knowledge or skills to the care of the patient.
3.4.3. Demonstrate ability to introspect and utilize experiences, to enhance personal and professional growth and learning.
3.4.4. Demonstrate ability to search (including through electronic means), and critically revaluate the medical literature and apply the information
in the care of the patient.
3.4.5. Be able to identify and select an appropriate career pathway that is professionally rewarding and personally fulfilling.
3.5. Professional who is committed to excellence, is ethical, responsive and accountable to patients, community and the profession
3.5.1. Practice selflessness, integrity, responsibility, accountability and respect.
3.5.2. Respect and maintain professional boundaries between patients, colleagues and society.
3.5.3. Demonstrate ability to recognize and manage ethical and professional conflicts.
3.5.4. Abide by prescribed ethical and legal codes of conduct and practice.
3.5.5. Demonstrate a commitment to the growth of the medical profession as a whole.
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Section 2
Subject-wise outcomes
Section 2 contains subject-wise outcomes so called “sub-competencies” that must be achieved at the end of instruction in that subject. These are organised in
tables and have two parts. The core subject outcomes are in first part. The second part in the same document (titled Integration) contains
outcomes/competencies in other subjects which have been identified by experts in those subjects as requiring alignment or integration with the core subject.
Outcomes (competencies) in each subject are grouped according to topics number-wise. It is important to review the individual outcomes (competencies) in
the light of the topic outcomes as a whole. For each competency outlined - the learning domains (Knowledge, Skill, Attitude, Communication) are identified.
The expected level of achievement in that subject is identified as – [knows (K), knows how (KH), shows how (SH), perform (P)]. As a rule, ‘perform’
indicates independent performance without supervision and is required rarely in the pre-internship period. The outcome is a core (Y - must achieve) or a
non-core (N - desirable) outcome. Suggested learning and assessment methods (these are suggestions) and explanation of the terms used are given under the
section “definitions used in this document”. The suggested number of times a skill must be performed independently for certification in the learner’s log
book is also given. Last two columns indicate subjects within the same phase and other phases with which the topic can be taught - together - aligned
(temporal coordination), shared, correlated or nested.
The number of topics and competencies in each subject are given below:
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Topics & outcomes in Pre-clinical & Para-clinical subjects
Sr. No. Subjects Number of topics Number of outcomes
1. Human Anatomy 82 409
2. Physiology 11 137
3. Biochemistry 11 89
4. Pharmacology 05 85
5. Pathology 36 182
6. Microbiology 08 54
7. Forensic Medicine & Toxicology 14 162
Total 167 1118
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Topics & outcomes in Medicine and Allied subjects
1. Community Medicine 20 107
2. General Medicine 26 506
3. Respiratory Medicine 02 47
4. Pediatrics 35 406
5. Psychiatry 19 117
6. Dermatology, Venereology & Leprosy 18 73
7. Physical Medicine & Rehabilitation 09 43
Total 129 1299
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Topics & outcomes in Surgery and Allied subjects
1. General Surgery 30 133
2. Ophthalmology 09 60
3. Otorhinolaryngology 04 76
4. Obstetrics & Gynaecology 38 126
5. Orthopedics 14 39
6. Anesthesiology 10 46
7. Radiodiagnosis 01 13
8. Radiotherapy 05 16
9. Dentistry 05 23
Total 116 532
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Section 3
Sample topics used for alignment & integration
Section 3 contains a sample selection of topics that run across the phases which can be used for alignment and integration. These are suggestions and
institutions can select their own set of topics which can run across phases.
It is important to design the curriculum with a view to ensure with several broad outcomes in mind: a) achievement of the broad competencies by the learner
at the end of the MBBS program, b) retain the subject - wise character of learning and assessment and ensure that phase-wise subject outcomes are met and
assessed, c) teaching topics that are similar together thereby reducing redundancy and allowing the learner to integrate the concept as the most important
step in integration (alignment or temporal coordination) (see document on integration), and d) align learning and assessment experiences to the outcome and
the level of achievement specified.
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Understanding the competencies table
26

Understanding the competencies table
A B C D E F G H I J
Suggested Suggested No.
Core Vertical Horizontal
No. Competencies Domain K/KH/SH/P Teaching Assessment required to
Integration Integration
Learning Method method certify (P)
Physiology
Summary
Name of Topic: General Physiology
Number of Competencies: (08)
Describe the structure and K Lectures, Small
PY1.1 KH Written/Viva
functions of a Y group discussion Biochemistry
Elict document and
S Bed Side clinic, Skill Community
present a medical history SH
IM25.4 Y DOAP assessment Medicine
that helps delineate the
Description of competency Identifies if the

Subject (s) in the same
competency is core or no of times a skill
Unique number of the competency. Identifies the domain desirable. needs to be done phase with which the
First two alphabets represent the or domains addressed Y indicates Core; Identifies the independently to be competency can be
subject (see list); number following K - Knowledge N-non-core suggested learning certified for horizontally integrated or
alphabet reflects topic number, S - Skill method. independent aligned to allow a more
following period is a running number. A - Attitude Identifies the level of DOAP - Demonstrate (by performance; wholesome understanding
C - Communication competency required Student) Observe, Assist Rarely used in UG
based on the Miller’s Perform) Subject (s) in other
pyramid phases with which the
Identifies the suggested
K - Knows competency can be
KH - Knows How
assessment method
Skill assessment - Clinics, vertically integrated to
S - Skill increase relevance or
SH - Show How Skills lab, Practicals etc.
improve basic
P - Perform
understanding
independently
*Numbers given are for illustrative purposes only and should not be compared with the same in curriculum documents
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Deriving learning objectives from competencies
28

Deriving learning objectives from competencies
K
Knows A knowledge attribute – Usually enumerates or describes
KH
Knows how A higher level of knowledge – is able to discuss or analyse
S
Shows A skill attribute: is able to identify or demonstrate the steps
SH A skill attribute: is able to interpret / demonstrate a complex procedure requiring
Shows how
thought, knowledge and behaviour
Performs
Mastery for the level of competence - When done independently under supervision a
(under
P pre-specified number of times - certification or capacity to perform independently
supervision or
results
independently)
Competency: An observable ability of a health professional, integrating multiple components such as knowledge, skills, values and attitudes.
Identify the etiology of meningitis

PA42.3* based on given CSF parameters K/S SH Y
At the end of the session the phase II student must be able to Audience - who will do the behavior
PA42.1* enumerate the most common causes of meningitis correctly
Behavior - What should the learner be able to do?

* At the end of the session the phase II student must be able to
PA42.2
enumerate the components of CSF analysis correctly
At the end of the session the phase II student must be able to describe
*
the CSF features for a given etiology of meningitis accurately Condition - Under what conditions should the learner be able
PA42.3
to do it?
At the end of the session the phase II student must be able to Degree – How well must it be done
PA42.4* identify the aetiology of meningitis correctly from a given set of
CSF parameters
Objective: Statement of what a learner should be able to do at the end of a specific learning experience
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Deriving learning methods from competencies
30

Deriving learning methods from competencies

Competency: An observable ability of a health professional, integrating multiple components such as knowledge, skills, values and
attitudes.
PA42.3* Identify the etiology of meningitis based on K/S SH Y

given CSF parameters
PA42.1*
At the end of the session the Phase II student must be able to Lecture or small group discussion
enumerate the most common causes of meningitis correctly
PA42.2*
At the end of the session the Phase II student must be able to Related objectives can be combined into
enumerate the components of a CSF analysis correctly one teaching session
PA42.3* At the end of the session the Phase II student must be able to
describe the CSF features for a given etiologic of meningitis
accurately
PA42.4* At the end of the session the Phase II student must the able to small group discussion, practical session
identify the aetiology of meningitis correctly from a given set of
CSF parameters
31

Deriving assessment methods from competencies
32

Deriving assessment methods from competencies-1

PA42.3* Identify the etiology of meningitis based on given K/S SH Y

CSF parameters


At the end of the session the Phase II student must be able to enumerate the Short note or part of structured essay: Enumerate 5 causes of
PA42.1*
most common causes of meningitis correctly meningitis based on their prevalence in India
Short note or part of structured essay: Enumerate the components

* At the end of the session the Phase II student must be able to enumerate the tested in a CSF analysis
PA42.2
components of a CSF analysis correctly
Short note or part of structured essay:
At the end of the session the Phase II student must be able to describe the Describe the CSF findings that are characteristic of tuberculous
PA42.3*
CSF features for a given aetiology of meningitis accurately meningitis
Short note / part of the structured essay/ Skill station/ Viva

PA42.4* At the end of the session the Phase II student must the able to identify the
aetiology of meningitis correctly from a given set of CSF parameters voce

Review the CSF findings in the following patient and
identify (write or vocalise) the most likely etiology

* Numbers given are for illustrative purposes only and should not be compared with numbers in the curriculum document
33

Deriving assessment methods from competencies-2
List the common microbial agents causing

*
MI2.4 anemia. Describe the morphology, mode of
infection and discuss the pathogenesis, Didactic Written/ Medicine
KH Y Viva voce Pathology
clinical course, diagnosis and prevention and K Small group
treatment of the common microbial agents discussion
causing Anemia.
Integrate concept - not necessarily teachers

Enumerate the common microbial agents causing Plan session with teachers of both subjects -teachers from
MI2.1*
anaemia both subjects usually not needed. Ensure redundancy and
duplication by reviewing both subjects
MI2.2* Describe the morphology of agent (1,2 etc)
MI2.3* Describe the mode of infection of agent in humans Horizontally aligned and integrated with pathology
Discuss the pathogenesis of anemia caused by agent Vertically integrated with General Medicine
MI2.4*
Describe the clinical course of infection by agent

MI2.5*
Enumerate the diagnostic tests to identify the aetiology Integrate concept - not necessarily teachers Plan session with
MI2.6*
of agent as a cause of anemia teachers from both phases. Make a decision on how much of the
information needs to be brought down to this phase to make it
MI2.7* Discuss the methods to prevent infection by agent
relevant. Consider how a competency can ascend over phases: for
eg. - can be at a KH -( know how) in phase II but becomes SH in
Describe the treatment of infection by agent phase III. For vertical integration with clinical subjects, use of a
MI2.8*
case to link the concept (a well written paper, case is sufficient).
Using teachers from both phases is rarely required
34

The concept of integration
Concept of integration used in the Manual
Integration is a learning experience that allows the learner to perceive relationships from blocks of knowledge and develop a unified view of its basis and its
application. The GMR 2018 applies these principles to the extent that will retain the strengths of silo - based education and assessment while providing
experiences that will allow learners to integrate concepts.
Keeping this in mind, the Regulations recommend temporal coordination as described by Harden (called alignment in this document) as the major method to be
followed allowing similar topics in different subjects to be thought separately but during the same time frame (Figure 1a ).
In a small proportion - not to exceed 20% of the total curriculum an attempt can be made to Share (Figure 1b) topics or Correlate (Figure 1c) topics by using an
integration session. The integration session most preferred will be a case based discussion in an appropriate format ensuring that elements in the same phase
(horizontal) and from other phases are addressed. Care must be taken to ensure that achievement phase - based objectives are given primacy - the integrative
elements from other phases are used only to provide adequate recall and understand the clinical application of concepts. It must be emphasized that integration
does not necessarily require multiple teachers in each class. Experts from each phase and subject may be involved in the lesson planning but not it in its delivery
unless deemed necessary.
As much as possible the necessary correlates from other phases must also be introduced while discussing a topic in a given subject - Nesting (Figure 1d)
(Harden). Topics that cannot be aligned and integrated must be provided adequate time in the curriculum throughout the year.
Assessment will continue to be subject based. However, efforts must be made to ensure that phase appropriate correlates are tested to determine if the learner has
internalized and integrated the concept and its application.
35

36

Definitions used in the Manual
1. Goal: A projected state of affairs that a person or system plans to achieve.
In other words: Where do you want to go? or What do you want to become?
2. Competency: The habitual and judicious use of communication, knowledge, technical skills, clinical reasoning, emotions, values, and reflection in daily
practice for the benefit of the individual and community being served.
In other words: What should you have? or What should have changed?
3. Objective: Statement of what a learner should be able to do at the end of a specific learning experience.
In other words: What the Indian Medical Graduate should know, do, or behave.
Action Verbs used in this manual
Knowledge Skill Attitude/communicate

Enumerate Identify Counsel
List Demonstrate Inform
Describe Perform under supervision Demonstrate understanding of
Discuss Perform independently
Differentiate Document
Define Present
Classify Record
Choose Interpret
Elicit
Report
37

Note:
1. Specified essential competencies only will be required to be performed independently at the end of the final year MBBS.
2. The word ‘perform’ or ‘do’ is used ONLY if the task has to be done on patients or in laboratory practical in the pre/para- clinical phases.
3. Most tasks that require performance during undergraduate years will be performed under supervision.
4. If a certification to perform independently has been done, then the number of times the task has to be performed under supervision
will be indicated in the last column.
Explanation of terms used in this manual

Lecture Any instructional large group method including traditional lecture and interactive
lecture
Small group discussion Any instructional method involving small groups of students in an appropriate
learning context
DOAP (Demonstration- A practical session that allows the student to observe a demonstration, assist the
Observation - Assistance performer, perform in a simulated environment, perform under supervision or
- Performance) perform independently
Skill assessment A session that assesses the skill of the student including those in the practical
laboratory, skills lab, skills station that uses mannequins/ paper case/simulated
patients/real patients as the context demands
Core A competency that is necessary in order to complete the requirements of the subject
(traditional must know)
Non-Core A competency that is optional in order to complete the requirements of the subject
(traditional nice (good) to know/ desirable to know)
National Guidelines Health programs as relevant to the competency that are part of the National Health
Program
38

Domains of learning
K Knowledge
S Skill
A Attitude
C Communication
Levels of competency
K Knows A knowledge attribute - Usually enumerates or describes
KH Knows how A higher level of knowledge - is able to discuss or analyze
S Shows A skill attribute: is able to identify or demonstrate the steps
SH Shows how A skill attribute: is able to interpret/ demonstrate a complex

procedure requiring thought, knowledge and behavior
P Performs (under Mastery for the level of competence - When done
supervision or independently under supervision a pre-specified number of
independently) times - certification or capacity to perform independently
results
Note:
In the table of competency - the highest level of competency acquired is specified and implies that the lower levels have been acquired already. Therefore,
when a student is able to SH - Show how - an informed consent is obtained - it is presumed that the preceding steps - the knowledge, the analytical skills, the
skill of communicating have all been obtained.
It may also be noted that attainment of the highest level of competency may be obtained through steps spread over several subjects or phases and not
necessarily in the subject or the phase in which the competency has been identified.
39

Volume II
Competency based Undergraduate Curriculum

in
Medicine and Allied subjects
40

COMMUNITY MEDICINE (CODE: CM)
Number COMPETENCY Domain Level Core Suggested Teaching Suggested Number Vertical Integration Horizontal
The student should be able to K/S/A/C K/KH/ Y/N learning method Assessment method required Integration
SH/P to certify
P
COMMUNITY MEDICINE
Topic: Concept of Health and Disease Number of competencies: (10) Number of procedures that require certification:(NIL)
CM1.1 Define and describe the concept of Public Health K KH Y Lecture, Small group Written / Viva voce
discussion
CM1.2 Define health; describe the concept of holistic health including K KH Y Lecture, Small group Written / Viva voce
concept of spiritual health and the relativeness & determinants of discussion
health
CM1.3 Describe the characteristics of agent, host and environmental K KH Y Lecture, Small group Written / Viva voce
factors in health and disease and the multi factorial etiology of discussion
disease
CM1.4 Describe and discuss the natural history of disease K KH Y Lecture, Small group Written / Viva voce
discussion
CM1.5 Describe the application of interventions at various levels of K KH Y Lecture, Small group Written / Viva voce
prevention discussion
CM1.6 Describe and discuss the concepts, the principles of Health K KH Y Lecture, Small group Written / Viva voce
promotion and Education, IEC and Behavioral change discussion
communication (BCC)
CM1.7 Enumerate and describe health indicators K KH Y Lecture, Small group Written / Viva voce
discussion
CM1.8 Describe the Demographic profile of India and discuss its impact on K KH Y Lecture, Small group Written / Viva voce
health discussion
CM1.9 Demonstrate the role of effective Communication skills in health in a S SH Y DOAP sessions Skill Assessment AETCOM
simulated environment
CM1.10 Demonstrate the important aspects of the doctor patient relationship S SH Y DOAP sessions Skill Assessment AETCOM
in a simulated environment
41
SH/P to certify
P
Topic: Relationship of social and behavioural to health and disease Number of competencies: (5) Number of procedures that require certification: (NIL)
CM2.1 Describe the steps and perform clinico socio-cultural and S SH Y Lecture, Small group Written / Viva voce/
demographic assessment of the individual, family and community discussion, DOAP Skill assessment
session
CM2.2 Describe the socio-cultural factors, family (types), its role in health S SH Y Lecture, Small group Written / Viva voce/
and disease & demonstrate in a simulated environment the correct discussion, DOAP Skill assessment
assessment of socio-economic status session
CM2.3 Describe and demonstrate in a simulated environment the S SH Y Lecture, Small group Written / Viva voce/
assessment of barriers to good health and health seeking behavior discussion, DOAP Skill assessment
session
CM2.4 Describe social psychology, community behaviour and community K KH Y Lecture, Small group Written / Viva voce
relationship and their impact on health and disease discussion
CM2.5 Describe poverty and social security measures and its relationship K KH Y Lecture, Small group Written / Viva voce
to health and disease discussion
Topic: Environmental Health Problems Number of competencies: (8) Number of procedures that require certification: (NIL)
CM3.1 Describe the health hazards of air, water, noise, radiation and K KH Y Lecture, Small group Written / Viva voce General Medicine,
pollution discussion ENT
CM3.2 Describe concepts of safe and wholesome water, sanitary sources K KH Y Lecture, Small group Written / Viva voce
of water, water purification processes, water quality standards, discussion, DOAP
concepts of water conservation and rainwater harvesting session
CM3.3 Describe the aetiology and basis of water borne diseases K KH Y Lecture, Small group Written / Viva voce Microbiology, General
/jaundice/hepatitis/ diarrheal diseases discussion, DOAP Medicine, Pediatrics
session
CM3.4 Describe the concept of solid waste, human excreta and sewage K KH Y Lecture, Small group Written / Viva voce
disposal discussion
42
SH/P to certify
P
CM3.5 Describe the standards of housing and the effect of housing on K KH Y Lecture, Small group Written / Viva voce
health discussion
CM3.6 Describe the role of vectors in the causation of diseases. Also K KH Y Lecture, Small group Written / Viva voce Microbiology
discuss National Vector Borne disease Control Program discussion
CM3.7 Identify and describe the identifying features and life cycles of S SH Y Lecture, Small group Written / Viva voce/ Microbiology
vectors of Public Health importance and their control measures discussion, DOAP Skill assessment
session
CM3.8 Describe the mode of action, application cycle of commonly used K KH Y Lecture, Small group Written / Viva voce Pharmacology
insecticides and rodenticides discussion
Topic: Principles of health promotion and education Number of competencies: (3) Number of procedures that require certification: (NIL)
CM4.1 Describe various methods of health education with their advantages K KH Y Lecture, Small group Written / Viva voce
and limitations discussion
CM4.2 Describe the methods of organizing health promotion and education K KH Y Lecture, Small group Written / Viva voce
and counselling activities at individual family and community discussion
settings
CM4.3 Demonstrate and describe the steps in evaluation of health S SH Y Small group session, Written / Viva voce/
promotion and education program DOAP session Skill assessment
Topic: Nutrition Number of competencies: (08) Number of procedures that require certification: (NIL)
CM5.1 Describe the common sources of various nutrients and special K KH Y Lecture, Small group Written / Viva voce General Medicine,
nutritional requirements according to age, sex, activity, physiological discussion Pediatrics
conditions
CM5.2 Describe and demonstrate the correct method of performing a S SH Y DOAP sessions Skill Assessment General Medicine,
nutritional assessment of individuals, families and the community by Pediatrics
using the appropriate method
43
SH/P to certify
P
CM5.3 Define and describe common nutrition related health disorders K KH Y Lecture, Small group Written / Viva voce General Medicine,
(including macro-PEM, Micro-iron, Zn, iodine, Vit. A), their control discussion Pediatrics
and management
CM5.4 Plan and recommend a suitable diet for the individuals and families S SH Y DOAP sessions Skill Assessment General Medicine,
based on local availability of foods and economic status, etc in a Pediatrics
CM5.5 Describe the methods of nutritional surveillance, principles of K KH Y Lecture, Small group Written / Viva voce General Medicine,
nutritional education and rehabilitation in the context of socio- discussion Pediatrics
cultural factors.
CM5.6 Enumerate and discuss the National Nutrition Policy, important K KH Y Lecture, Small group Written / Viva voce Pediatrics
national nutritional Programs including the Integrated Child discussion
Development Services Scheme (ICDS) etc
CM5.7 Describe food hygiene K KH Y Lecture, Small group Written / Viva voce Microbiology
discussion
CM5.8 Describe and discuss the importance and methods of food K KH Y Lecture, Small group Written / Viva voce Pediatrics
fortification and effects of additives and adulteration discussion
Topic: Basic statistics and its applications Number of competencies: (04) Number of procedures that require certification: (NIL)
CM6.1 Formulate a research question for a study K KH Y Small group Written / Viva voce/ General Medicine,
discussion, Lecture, Skill assessment Pediatrics
DOAP sessions
CM6.2 Describe and discuss the principles and demonstrate the methods S SH Y Small group, Lecture, Written / Viva voce/ General Medicine,
of collection, classification, analysis, interpretation and presentation DOAP sessions Skill assessment Pediatrics
of statistical data
CM6.3 Describe, discuss and demonstrate the application of elementary S SH Y Small group Written / Viva voce/ General Medicine,
statistical methods including test of significance in various study discussion, Lecture, Skill assessment Pediatrics
designs DOAP sessions
44
SH/P to certify
P
CM6.4 Enumerate, discuss and demonstrate Common sampling S SH Y Small group Written / Viva voce/ General Medicine,
techniques, simple statistical methods, frequency distribution, discussion, Lecture, Skill assessment Pediatrics
measures of central tendency and dispersion DOAP sessions
Topic: Epidemiology Number of competencies: (09) Number of procedures that require certification: (NIL)
CM7.1 Define Epidemiology and describe and enumerate the principles, K KH Y Small group Written / Viva voce General Medicine
concepts and uses discussion, Lecture
CM7.2 Enumerate, describe and discuss the modes of transmission and K KH Y Small group Written / Viva voce General Medicine
measures for prevention and control of communicable and non- discussion, Lecture
communicable diseases
CM7.3 Enumerate, describe and discuss the sources of epidemiological K KH Y Small group Written / Viva voce General Medicine
data discussion, Lecture
CM7.4 Define, calculate and interpret morbidity and mortality indicators S SH Y Small group, DOAP Written/ Skill General Medicine
based on given set of data sessions assessment
CM7.5 Enumerate, define, describe and discuss epidemiological study K KH Y Small group Written / Viva voce General Medicine
designs discussion, Lecture
CM7.6 Enumerate and evaluate the need of screening tests S SH Y Small group Written/ Skill General Medicine
discussion, DOAP assessment
sessions
CM7.7 Describe and demonstrate the steps in the Investigation of an S SH Y Small group Written/ Skill General Medicine Microbiology
epidemic of communicable disease and describe the principles of discussion, DOAP assessment
control measures sessions
CM7.8 Describe the principles of association, causation and biases in K KH Y Small group Written / Viva voce General Medicine
epidemiological studies discussion, Lecture
CM7.9 Describe and demonstrate the application of computers in S KH Y Small group Written
epidemiology discussion, DOAP
sessions
45
SH/P to certify
P
Topic: Epidemiology of communicable and non- communicable diseases Number of competencies:(7) Number of procedures that require certification:(NIL)
CM8.1 Describe and discuss the epidemiological and control measures K KH Y Small group Written / Viva voce General Medicine, Microbiology,
including the use of essential laboratory tests at the primary care discussion, Lecture Pediatrics Pathology
level for communicable diseases
CM8.2 Describe and discuss the epidemiological and control measures K KH Y Small group Written / Viva voce General Medicine
including the use of essential laboratory tests at the primary care discussion, Lecture
level for Non Communicable diseases (diabetes, Hypertension,
Stroke, obesity and cancer etc.)
CM8.3 Enumerate and describe disease specific National Health Programs K KH Y Small group Written / Viva voce General Medicine,
including their prevention and treatment of a case discussion, Lecture Pediatrics
CM8.4 Describe the principles and enumerate the measures to control a K KH Y Small group Written / Viva voce General Medicine,
disease epidemic discussion, Lecture Pediatrics
CM8.5 Describe and discuss the principles of planning, implementing and K KH Y Small group Written / Viva voce General Medicine,
evaluating control measures for disease at community level bearing discussion, Lecture Pediatrics
in mind the public health importance of the disease
CM8.6 Educate and train health workers in disease surveillance, control & S SH Y DOAP sessions Skill assessment
treatment and health education
CM8.7 Describe the principles of management of information systems K KH Y Small group Written / Viva voce
discussion, Lecture
Topic: Demography and vital statistics Number of competencies: (07) Number of procedures that require certification: (NIL)
CM9.1 Define and describe the principles of Demography, Demographic K KH Y Small group Written / Viva voce
cycle, Vital statistics discussion, Lecture
CM9.2 Define, calculate and interpret demographic indices including birth S SH Y Lecture, Small group Skill assessment Obstetrics &
rate, death rate, fertility rates discussion, DOAP Gynaecology,
sessions Pediatrics
46
SH/P to certify
P
CM9.3 Enumerate and describe the causes of declining sex ratio and its K KH Y Small group Written / Viva voce
social and health implications discussion, Lecture
CM9.4 Enumerate and describe the causes and consequences of K KH Y Small group Written / Viva voce
population explosion and population dynamics of India. discussion, Lecture
CM9.5 Describe the methods of population control K KH Y Small group Written / Viva voce Obstetrics &
discussion, Lecture Gynaecology
CM9.6 Describe the National Population Policy K KH Y Small group Written / Viva voce
discussion, Lecture
CM9.7 Enumerate the sources of vital statistics including census, SRS, K KH Y Small group Written / Viva voce
NFHS, NSSO etc discussion, Lecture
Topic: Reproductive maternal and child health Number of competensies:(09) Number of procedures that require certification: (NIL)
CM10.1 Describe the current status of Reproductive, maternal, newborn and K KH Y Small group Written / Viva voce Obstetrics &
Child Health discussion, Lecture Gynaecology,
Pediatrics
CM10.2 Enumerate and describe the methods of screening high risk groups K KH Y Small group Written / Viva voce Pediatrics, Obstetrics
and common health problems discussion, Lecture & Gynaecology
CM10.3 Describe local customs and practices during pregnancy, childbirth, K KH Y Small group Written / Viva voce Pediatrics, Obstetrics
lactation and child feeding practices discussion, Lecture & Gynaecology
CM10.4 Describe the reproductive, maternal, newborn & child health K KH Y Small group Written / Viva voce Obstetrics &
(RMCH); child survival and safe motherhood interventions discussion, Lecture Gynaecology,
Pediatrics
CM10.5 Describe Universal Immunization Program; Integrated Management K KH Y Small group Written / Viva voce Pediatrics
of Neonatal and Childhood Illness (IMNCI) and other existing discussion, Lecture
Programs.
CM10.6 Enumerate and describe various family planning methods, their K KH Y Small group Written / Viva voce
advantages and shortcomings discussion, Lecture
47
SH/P to certify
P
CM10.7 Enumerate and describe the basis and principles of the Family K KH Y Small group Written / Viva voce
Welfare Program including the organization, technical and discussion, Lecture
operational aspects
CM10.8 Describe the physiology, clinical management and principles of K KH Y Small group Written / Viva voce
adolescent health including ARSH discussion, Lecture
CM10.9 Describe and discuss gender issues and women empowerment K KH Y Small group Written / Viva voce
discussion, Lecture
Topic: Occupational Health Number of competencies: (05) Number of procedures that require certification: (NIL)
CM11.1 Enumerate and describe the presenting features of patients with K KH Y Small group Written / Viva voce
occupational illness including agriculture discussion, Lecture
CM11.2 Describe the role, benefits and functioning of the employees state K KH Y Small group Written / Viva voce
insurance scheme discussion, Lecture
CM11.3 Enumerate and describe specific occupational health hazards, their K KH Y Small group Written / Viva voce
risk factors and preventive measures discussion, Lecture
CM11.4 Describe the principles of ergonomics in health preservation K KH Y Small group Written / Viva voce
discussion, Lecture
CM11.5 Describe occupational disorders of health professionals and their K KH Y Small group Written / Viva voce
prevention & management discussion, Lecture
Topic: Geriatric services Number of competencies: (04) Number of procedures that require certification: (NIL)
CM12.1 Define and describe the concept of Geriatric services K KH Y Lecture, Small group Written / Viva voce General Medicine
discussion
CM12.2 Describe health problems of aged population K KH Y Lecture, Small group Written / Viva voce General Medicine
discussion
CM12.3 Describe the prevention of health problems of aged population K KH Y Lecture, Small group Written / Viva voce General Medicine
discussion
48
SH/P to certify
P
CM12.4 Describe National program for elderly K KH Y Lecture, Small group Written / Viva voce General Medicine
discussion
Topic: Disaster Management Number of competencies: (04) Number of procedures that require certification: (NIL)
CM13.1 Define and describe the concept of Disaster management K KH Y Lecture, Small group Written / Viva voce General Surgery,
discussion General Medicine
CM13.2 Describe disaster management cycle K KH Y Lecture, Small group Written / Viva voce General Surgery,
CM13.3 Describe man made disasters in the world and in India K KH Y Lecture, Small group Written / Viva voce General Surgery,
CM13.4 Describe the details of the National Disaster management Authority K KH Y Lecture, Small group Written / Viva voce General Surgery,
Topic: Hospital waste management Number of competencies: (03) Number of procedures that require certification: (NIL)
CM14.1 Define and classify hospital waste K KH Y Lecture, Small group Written / Viva voce Microbiology
discussion, visit to
hospital
CM14.2 Describe various methods of treatment of hospital waste K KH Y Lecture, Small group Written / Viva voce Microbiology
discussion, visit to
hospital
CM14.3 Describe laws related to hospital waste management K KH Y Lecture, Small group Written / Viva voce Microbiology
discussion
Topic: Mental Health Number of competencies: (03) Number of procedures that require certification: (NIL)
CM15.1 Define and describe the concept of mental Health K KH Y Lecture, Small group Written / Viva voce Psychiatry
discussion
CM15.2 Describe warning signals of mental health disorder K KH Y Lecture, Small group Written / Viva voce Psychiatry
discussion
CM15.3 Describe National Mental Health program K KH Y Lecture, Small group Written / Viva voce Psychiatry
discussion
49
SH/P to certify
P
Topic: Health planning and management Number of competencies: (04) Number of procedures that require certification: (NIL)
CM16.1 Define and describe the concept of Health planning K KH Y Lecture, Small group Written / Viva voce
discussion
CM16.2 Describe planning cycle K KH Y Lecture, Small group Written / Viva voce
discussion
CM16.3 Describe Health management techniques K KH Y Lecture, Small group Written / Viva voce
discussion
CM16.4 Describe health planning in India and National policies related to K KH Y Lecture, Small group Written / Viva voce
health and health planning discussion
Topic: Health care of the communtiy Number of competencies:(05) Number of procedures that require certification: (NIL)
CM17.1 Define and describe the concept of health care to community K KH Y Lecture, Small group Written / Viva voce
discussion
CM17.2 Describe community diagnosis K KH Y Lecture, Small group Written / Viva voce
discussion
CM17.3 Describe primary health care, its components and principles K KH Y Lecture, Small group Written / Viva voce
discussion
CM17.4 Describe National policies related to health and health planning and K KH Y Lecture, Small group Written / Viva voce
millennium development goals discussion
CM17.5 Describe health care delivery in India K KH Y Lecture, Small group Written / Viva voce
discussion
Topic: International Health Number of competencies: (2) Number of procedures that require certionat(NIL)
CM18.1 Define and describe the concept of International health K KH Y Lecture, Small group Written / Viva voce
discussion
CM18.2 Describe roles of various international health agencies K KH Y Lecture, Small group Written / Viva voce
discussion
50
SH/P to certify
P
Topic: Essential Medicine Number of competencies: (3) Number of procedures that require certification: (NIL)
CM19.1 Define and describe the concept of Essential Medicine List (EML) K KH Y Lecture, Small group Written / Viva voce Pharmacology
discussion
CM19.2 Describe roles of essential medicine in primary health care K KH Y Lecture, Small group Written / Viva voce Pharmacology
discussion
CM19.3 Describe counterfeit medicine and its prevention K KH Y Lecture, Small group Written / Viva voce Pharmacology
discussion
Topic: Recent advances in Community Medicine Number of competencies: (04) Number of procedures that require certification: (NIL)
CM20.1 List important public health events of last five years K KH Y Lecture, Small group Written / Viva voce
discussion
CM20.2 Describe various issues during outbreaks and their prevention K KH Y Lecture, Small group Written / Viva voce
discussion
CM 20.3 Describe any event important to Health of the Community K KH Y Lecture, Small group Written / Viva voce
discussion
CM 20.4 Demonstrate awareness about laws pertaining to practice of K KH Y Lecture, Small group Written / Viva voce
medicine such as Clinical establishment Act and Human Organ discussion
Transplantation Act and its implications
Column C: K- Knowledge, S – Skill, A - Attitude / professionalism, C- Communication.

Column D: K – Knows, KH - Knows How, SH - Shows how, P- performs independently,
Column F: DOAP session – Demonstrate, Observe, Assess, Perform.
Column H: If entry is P: indicate how many procedures must be done independently for certification/ graduation
Intergration
Physiology
PY9.6 Enumerate the contraceptive methods for male and female. Discuss K KH Y Lectures, Small group Written/ Viva voce Obstetrics &
their advantages & disadvantages discussion Gynaecology,
Community Medicine
51
SH/P to certify
P
Biochemistry
BI8.5 Summarize the nutritional importance of commonly used items of K KH Y Lectures, Small group Written/ Viva voce Community Medicine,
food including fruits and vegetables.(macro-molecules & its discussions General Medicine,
importance) Pediatrics
Pathology
PA12.1 Enumerate and describe the pathogenesis of disorders caused by K KH Y Lecture, Small group Written / Viva voce Community Medicine
air pollution, tobacco and alcohol discussion
PA26.5 Define and describe the etiology, types, exposure, environmental K KH Y Lecture, Small group Written / Viva voce General Medicine,
influence, pathogenesis, stages, morphology, microscopic discussion Community Medicine
appearance and complications of Occupational lung disease
PA26.7 Define and describe the etiology, types, exposure, genetics K KH N Lecture, Small group Written / Viva voce General Medicine,
environmental influence, pathogenesis, morphology, microscopic discussion Community Medicine
appearance and complications of mesothelioma
Microbiology
MI1.3 Describe the epidemiological basis of common infectious diseases K KH Y Lecture Written/ Viva voce Community Medicine
MI8.4 Describe the etiologic agents of emerging Infectious diseases. K KH Y Lecture, Small group Written / Viva voce General Medicine, Community Medicine
Discuss the clinical course and diagnosis discussion Community Medicine
MI8.5 Define Healthcare Associated Infections (HAI) and enumerate the K KH Y Lecture, Small group Written/ Viva voce General Medicine,
types. Discuss the factors that contribute to the development of HAI discussion Community Medicine
and the methods for prevention
MI8.6 Describe the basics of Infection control K KH Y Lecture, Small group Written / Viva voce
discussion
52
SH/P to certify
P
MI8.7 Demonstrate Infection control practices and use of Personal S P Y DOAP session Skill assessment 3 each in General Surgery Community Medicine
Protective Equipments (PPE) (Hand
hygiene &
PPE)
MI8.16 Describe the National Health Programs in the prevention of common K K Y Lecture Written / Viva voce
infectious disease (for information purpose only as taught in CM)
Pharmacology
PH1.55 Describe and discuss the following National Health programmes K KH Y Lecture Written / Viva voce Community Medicine
including Immunisation, Tuberculosis, Leprosy, Malaria, HIV, Filaria,
Kala Azar, Diarrhoeal diseases, Anaemia & nutritional disorders,
Blindness, Non-communicable diseases, Cancer and Iodine
deficiency
Forensic Medicine & Toxicology
FM2.33 Demonstrate ability to use local resources whenever required like in A&C KH Y Lecture, Small group Written/ Viva voce Community Medicine
mass disaster situations discussions
Dermatology, Venereology & Leprosy
DR9.1 Classify, describe the epidemiology, etiology, microbiology K KH Y Lecture, Small group Written / Viva voce General Medicine Microbiology,
pathogenesis and clinical presentations and diagnostic features of discussions Community Medicine
Leprosy
DR9.5 Enumerate the indications and describe the pharmacology, K KH Y Lecture, Small group Written / Viva voce General Medicine Pharmacology,
administration and adverse reaction of pharmacotherapies for discussions Community Medicine
various classes of leprosy based on national guidelines
DR9.6 Describe the treatment of Leprosy based on the WHO guidelines K KH Y Lecture, Small group Written / Viva voce General Medicine Pharmacology,
discussions Community Medicine
Ophthalmology
OP9.4 Enumerate, describe and discuss the causes of avoidable blindness K KH Y Lecture, Small group Written / Viva voce Community Medicine
and the National Programs for Control of Blindness (including vision discussions
2020)
53
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P
Psychiatry
PS19.1 Describe the relevance, role and status of community psychiatry K KH Y Lecture, Small group Written / Viva voce Community Medicine
discussion
PS19.2 Describe the objectives strategies and contents of the of the K KH Y Lecture, Small group Written / Viva voce Community Medicine
National Mental Health Programme discussion
PS19.4 Enumerate and describe the salient features of the prevalent mental K KH Y Lecture, Small group Written / Viva voce Community Medicine
health laws in India discussion
PS19.5 Describe the concept and principles of preventive psychiatry and K KH Y Lecture, Small group Written / Viva voce Community Medicine
mental health promotion (positive mental health); and community discussion
education
General Medicine
IM2.1 Discuss and describe the epidemiology, antecedents and risk K KH Y Lecture, Small group Written / Viva voce Pathology,
factors for atherosclerosis and ischemic heart disease discussion Physiology,
Community Medicine
IM4.3 Discuss and describe the common causes, pathophysiology and K K Y Lecture, Small group Written Microbiology,
manifestations of fever in various regions in India including discussion Community Medicine
bacterial, parasitic and viral causes (e.g. Dengue, Chikungunya,
Typhus)
IM9.15 Describe the national programs for anemia prevention K KH Y Lecture, Small group Written / Viva voce Pharmacology,
discussion Community Medicine
IM12.12 Describe and discuss the iodisation programs of the government of K KH Y Lecture, Bedside clinic short note Community Medicine
India
IM14.4 Describe and discuss the impact of environmental factors including K K Y Lectures, Small group short note/ Viva voce Pathology, Community
eating habits, food, work, environment and physical activity on the discussions Medicine
incidence of obesity
IM24.18 Describe the impact of the demographic changes in ageing on the K KH Y Lecture, Small group Written / Viva voce Community Medicine
population discussion
54
SH/P to certify
P
IM25.1 Describe and discuss the response and the influence of host K K Y Lecture, Small group Written Microbiology,
immune status, risk factors and comorbidities on zoonotic diseases discussion Community Medicine
(e.g. Leptospirosis, Rabies) and non-febrile infectious disease (e.g.
Tetanus)
manifestations of these diseases discussion Community Medicine
IM25.4 Elicit document and present a medical history that helps delineate S SH Y Bedside clinic, DOAP Skill assessment Community Medicine
the aetiology of these diseases that includes the evolution and session
pattern of symptoms, risk factors, exposure through occupation and
travel
IM25.13 Counsel the patient and family on prevention of various infections C SH Y DOAP session Skill assessment Community Medicine,
due to environmental issues General Medicine
Obstetrics & Gynaecology
OG1.1 Define and discuss birth rate, maternal mortality and morbidity K KH Y Lecture, Small group Short notes Community Medicine
discussions
OG1.2 Define and discuss perinatal mortality and morbidity including K KH Y Lecture, Small group Short notes Community Medicine Pediatrics
perinatal and neonatal mortality and morbidity audit discussions
OG8.1 Enumerate describe and discuss the objectives of antenatal care, K KH Y Small group Written / Viva voce/ Community Medicine
assessment of period of gestation; screening for high-risk factors discussions, Bedside Skill assessment
clinics, Lecture
OG19.2 Counsel in a simulated environment, contraception and puerperal S/A/C SH Y DOAP session Skill assessment Community Medicine
sterilisation
OG21.1 Describe and discuss the temporary and permanent methods of K KH Y Lecture, Small group Written / Viva voce/ Community Medicine
contraception, indications, technique and complications; selection of discussions, Bedside Skill assessment
patients, side effects and failure rate including OC, male clinics
contraception, emergency contraception and IUCD
OG33.3 Describe and demonstrate the screening for cervical cancer in a K/S SH Y DOAP session Skill assessment Community Medicine
Pediatrics
55
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P
PE3.5 Discuss the role of the child developmental unit in management of K K N Lecture, Small group Written/ Viva voce Community Medicine
developmental delay discussion
PE3.7 Visit a Child Developmental unit and observe its functioning S KH Y Lecture, Small group Log book Entry Community Medicine
discussion
PE8.1 Define the term Complementary Feeding K K Y Lecture, Small group Written/ Viva voce Community Medicine
discussion
PE8.2 Discuss the principles the initiation, attributes , frequency, K KH Y Lecture, Small group Written / Viva voce Community Medicine
techniques and hygiene related to complementary feeding including discussion
PE8.3 IYCF
Enumerate the common complimentary foods K K Y Lecture, Small group Written / Viva voce Community Medicine
discussion
PE8.4 Elicit history on the Complementary Feeding habits S SH Y Bedside clinics, Skills Skill Assessment Community Medicine
lab
PE8.5 Counsel and educate mothers on the best practices in A/C SH Y DOAP session Document in Log Community Medicine
Complimentary Feeding Book
PE9.1 Describe the age related nutritional needs of infants, children and K KH Y Lecture, Small group Written / Viva voce Community Medicine,
adolescents including micronutrients and vitamins discussion Biochemistry
PE9.2 Describe the tools and methods for Assessment and classification K KH Y Lecture, Small group Written / Viva voce Community Medicine
of Nutritional status of infants, children and adolescents discussion,
PE9.4 Elicit, Document and present an appropriate nutritional history and S SH Y Bedside clinic, Skill Skill Assessment Community Medicine
perform a dietary recall Lab
PE9.5 Calculate the age related Calorie requirement in Health and Disease S SH Y Bedside clinics, Small Skill assessment Community Medicine
and identify gap group discussion
PE9.6 Assess and classify the nutrition status of infants, children and S SH Y Bedside clinic, Small Skill Assessment Community Medicine
adolescents and recognize deviations group discussion
PE9.7 Plan an appropriate diet in Health and disease S SH N Bedside clinic, Small Document in logbook Community Medicine
group discussion
56
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P
PE10.4 Identify children with under nutrition as per IMNCI criteria and plan S SH Y DOAP session Document in log book Community Medicine
referral
PE17.1 State the vision and outline the goals, strategies and plan of action K KH Y Lecture, Small group Written/ Viva voce Community Medicine
of NHM and other important national programs pertaining to discussion
maternal and child health including RMNCH A+, RBSK, RKSK,
JSSK mission Indradhanush and ICDS
PE17.2 Analyse the outcomes and appraise the monitoring and evaluation K KH Y Debate Written/ Viva voce Community Medicine
of NHM
PE18.1 List and explain the components, plans, outcomes of Reproductive K KH Y Lecture, Small group Written / Viva voce Community Medicine Obstetrics &
child health (RCH) program and appraise the monitoring and discussion Gynaecology
evaluation
PE18.2 Explain preventive interventions for Child survival and safe K KH Y Lecture, Small group Written/ Viva voce Community Medicine Obstetrics &
motherhood discussion Gynaecology
PE18.3 Conduct Antenatal examination of women independently and apply S SH Y Bedside clinics Skill station Community Medicine Obstetrics &
at-risk approach in antenatal care Gynaecology
PE18.4 Provide intra-natal care and conduct a normal Delivery in a S SH Y DOAP session, Skills Document in Log Community Medicine Obstetrics &
simulated environment lab Book Gynaecology
PE18.6 Perform Postnatal assessment of newborn and mother, provide S SH Y Bedside clinics, Skill Skill Assessment Community Medicine Obstetrics &
advice on breast feeding, weaning and on family planning Lab Gynaecology
PE18.8 Observe the implementation of the program by Visiting the Rural S KH Y Bedside clinics, Skill Document in log book Community Medicine Obstetrics &
Health Centre Lab Gynaecology
PE19.1 Explain the components of the Universal immunization Program and K KH Y Lecture, Small group Written/ Viva voce Community Medicine,
the sub National Immunization Programs discussion Microbiology
PE19.2 Explain the epidemiology of Vaccine preventable diseases K KH Y Lecture, Small group Written/ Viva voce Community Medicine,
discussion Microbiology
PE19.3 Vaccine description with regard to classification of vaccines, strain K KH Y Lecture, Small group Written/ Viva voce Community Medicine,
used, dose, route, schedule, risks, benefits and side effects, discussion Microbiology
indications and contraindications
PE19.4 Define cold chain and discuss the methods of safe storage and K KH Y Lecture, Small group Written / Viva voce Community Medicine,
handling of vaccines discussion Microbiology
57
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P
PE19.5 Discuss immunization in special situations – HIV positive children, K KH Y Lecture, Small group Written / Viva voce Community Medicine,
immunodeficiency, preterm , organ transplants, those who received discussion Microbiology
blood and blood products, splenectomised children, Adolescents,
travellers
PE19.8 Demonstrate willingness to participate in the National and sub A SH Y Lecture, Small group Document in Log Community Medicine
national immunisation days discussion Book
PE19.12 Observe the Administration the UIP vaccines S SH Y DOAP session Document in Log Community Medicine
Book
PE29.5 Discuss the National anaemia Control program K KH Y Lecture, Small group Written / Viva voce Community Medicine
discussion
PE34.3 Discuss the various regimens for management of Tuberculosis as K KH Y Lecture, Small group Written/ Viva voce Microbiology, Respiratory Medicine
per National Guidelines discussion Community Medicine,
Pharmacology
PE34.4 Discuss the preventive strategies adopted and the objectives and K KH Y Lecture, Small group Written/ Viva voce Microbiology, Respiratory Medicine
outcome of the National Tuberculosis Control Program discussion Community Medicine,
Pharmacology
General Surgery
SU7.1 Describe the Planning and conduct of Surgical audit K KH Y Lecture, Small group Written / Viva voce Community Medicine
discussion
SU7.2 Describe the principles and steps of clinical research in surgery K KH Y Lecture, Small group Written / Viva voce Community Medicine
discussion
Respiratory Medicine
CT1.1 Describe and discuss the epidemiology of tuberculosis and its K KH Y Lecture, Small group Written / Viva voce Community Medicine
impact on the work, life and economy of India discussion
CT1.4 Describe the epidemiology, the predisposing factors and microbial K KH Y Lecture, Small group Written / Viva voce Community Medicine,
and therapeutic factors that determine resistance to drugs discussion Microbiology,
Pharmacology
58
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P
CT1.15 Prescribe an appropriate antituberculosis regimen based on the K SH Y Bedside clinic, Small Skill assessment Pharmacology,
location of disease, smear positivity and negativity and co- group discussion, Community Medicine
morbidities based on current national guidelines including directly Lecture
observed tuberculosis therapy (DOTS)
CT1.16 Describe the appropriate precautions, screening, testing and K KH Y Bedside clinic, Small Written Community Medicine
indications for chemoprophylaxis for contacts and exposed health group discussion
care workers
CT1.18 Educate health care workers on national programs of Tuberculosis C SH Y DOAP session Skill assessment Community Medicine
and administering and monitoring the DOTS program
CT2.24 Recognise the impact of OAD on patient’s quality of life, well being, A KH Y Small group Observation by faculty Community Medicine
work and family discussion, Bedside
clinic
CT2.25 Discuss and describe the impact of OAD on the society and K KH Y Lecture, Small group Written / Viva voce Community Medicine
workplace discussion
CT2.26 Discuss and describe preventive measures to reduce OAD in K KH Y Lecture,Small group Written / Viva voce Community Medicine
workplaces discussion
CT2.27 Demonstrate an understanding of patient’s inability to change A KH Y Small group Observation by faculty Community Medicine
working, living and environmental factors that influence progression discussion, Bedside
of airway disease clinic
59
GENERAL MEDICINE (CODE: IM)
Number COMPETENCY Domain Level Core Y/ Suggested Learning Suggested Assessment Number Vertical Integration Horizontal
The student should be able to K/S/A/C K/KH/ N methods methods required to Integration
SH/P certify
P
GENERAL MEDICINE
Topic: Heart Failure Number of competencies: (30) Number of procedures that require certification : (01)
IM1.1 Describe and discuss the epidemiology, pathogenesis clinical K KH Y Lecture, Small group Written/ Viva voce Pathology, Physiology
evolution and course of common causes of heart disease including: discussion
rheumatic/ valvular, ischemic, hypertrophic inflammatory
IM1.2 Describe and discuss the genetic basis of some forms of heart K KH N Lecture, Small group Written Pathology, Physiology
failure discussion
IM1.3 Describe and discuss the aetiology microbiology pathogenies and K KH Y Lecture, Small group Written/ Viva voce Pathology,
clinical evolution of rheumatic fever, criteria, degree of rheumatic discussion Physiology,
activity and rheumatic valvular heart disease and its complications Microbiology
including infective endocarditis
IM1.4 Stage heart failure K KH Y Lecture, Small group Written/ Viva voce Pathology, Physiology
discussion
IM1.5 Describe ,discuss and differentiate the processes involved in R Vs L K KH Y Lecture, Small group Written/ Viva voce Pathology, Physiology
heart failure, systolic vs diastolic failure discussion
IM1.6 Describe and discuss the compensatory mechanisms involved in K KH Y Lecture, Small group Written/ Viva voce Pathology, Physiology
heart failure including cardiac remodelling and neurohormonal discussion
adaptations
IM1.7 Enumerate, describe and discuss the factors that exacerbate heart K KH Y Lecture,Small group Written/ Viva voce Pathology, Physiology
failure including ischemia
ischemia, arrythmias
arrythmias, anemia,
anemia thyrotoxicosis,
thyrotoxicosis discussion
dietary factors drugs etc.
IM1.8 Describe and discuss the pathogenesis and development of K KH Y Lecture, Small group Written/ Viva voce Pathology, Physiology
common arrythmias involved in heart failure particularly atrial discussion
fibrillation
IM1.9 Describe and discuss the clinical presentation and features, K KH Y Lecture, Small group Written/ Viva voce Pathology,
diagnosis, recognition and management of acute rheumatic fever discussion Microbiology
60
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P
IM1.10 Elicit document and present an appropriate history that will establish S SH Y Bedside clinic Skill assessment
the diagnosis, cause and severity of heart failure including:
presenting complaints, precipitating and exacerbating factors, risk
factors exercise tolerance, changes in sleep patterns, features
suggestive of infective endocarditis
IM1.11 Perform and demonstrate a systematic examination based on the S SH Y Bedside clinic, DOAP Skill assessment
history that will help establish the diagnosis and estimate its severity session
including: measurement of pulse, blood pressure and respiratory
rate, jugular venous forms and pulses, peripheral pulses,
conjunctiva and fundus, lung, cardiac examination including
palpation and auscultation with identification of heart sounds and
murmurs, abdominal distension and splenic palpation
IM1.12 Demonstrate peripheral pulse, volume, character, quality and S SH Y Bedside clinic, DOAP Skill assessment
variation in various causes of heart failure session
IM1.13 Measure the blood pressure accurately, recognise and discuss S SH Y Bedside clinic, DOAP Skill assessment
alterations in blood pressure in valvular heart disease and other session
causes of heart failure and cardiac tamponade
IM1.14 Demonstrate and measure jugular venous distension S SH Y Bedside clinic, DOAP Skill assessment
session
IM1.15 Identify and describe the timing, pitch quality conduction and S SH Y Bedside clinic, DOAP Skill assessment
significance of precordial murmurs and their variations session
IM1.16 Generate a differential diagnosis based on the clinical presentation K KH Y Bedside clinic, Small Skill assessment
and prioritise it based on the most likely diagnosis group discussion
IM1.17 Order and interpret diagnostic testing based on the clinical K SH Y Bedside clinic, DOAP Skill assessment
diagnosis including 12 lead ECG, Chest radiograph, blood cultures session
IM1.18 Perform and interpret a 12 lead ECG S P Y Bedside clinic, DOAP Skill assessment 3
session
IM1.19 Enumerate the indications for and describe the findings of heart S KH N Lecture, Small group Skill assessment Radiodiagnosis
failure with the following conditions including: 2D echocardiography, discussion, Bedside
brain natriuretic peptide, exercise testing, nuclear medicine testing clinic
and coronary angiogram
61
SH/P certify
P
IM1.20 Determine the severity of valvular heart disease based on the C SH Y Small group Written/ Skill
clinical and laboratory and imaging features and determine the level discussion, Lecture, assessment
of intervention required including surgery Bedside clinic
IM1.21 Describe and discuss and identify the clinical features of acute and K KH/SH Y Bedside clinic, Small Skill assessment
subacute endocarditis, echocardiographic findings, blood culture group discussion,
and sensitivity and therapy Lecture
IM1.22 Assist and demonstrate the proper technique in collecting specimen S SH Y DOAP session Skill assessment Microbiology
for blood culture
IM1.23 Describe, prescribe and communicate non pharmacologic S/C SH Y Lecture, Small group Skill assessment
management of heart failure including sodium restriction, physical discussion
activity and limitations
IM1.24 Describe and discuss the pharmacology of drugs including K KH Y Lecture, Small group Viva voce/written Pharmacology
indications, contraindications in the management of heart failure discussion
including diuretics, ACE inhibitors, Beta blockers, aldosterone
antagonists and cardiac glycosides
IM1.25 Enumerate the indications for valvuloplasty, valvotomy, coronary K KH Y Lecture, Small group Viva voce/written
revascularization and cardiac transplantation discussion, Bedside
clinic
IM1.26 Develop document and present a management plan for patients with S SH Y Bedside clinic, Skill Bedside clinic/ Skill
heart failure based on type of failure, underlying aetiology assessment, Small assessment/written
group discussion
IM1.27 Describe and discuss the role of penicillin prophylaxis in the K KH Y Bedside clinic, Small Written Microbiology,
prevention of rheumatic heart disease group discussion Pharmacology
IM1.28 Enumerate the causes of adult presentations of congenital heart K KH Y Bedside clinic, Small Bedside clinic/ Skill
disease and describe the distinguishing features between cyanotic group discussion assessment/written
and acyanotic heart disease
IM1.29 Elicit document and present an appropriate history, demonstrate K KH Y Bedside clinic,Small Skill assessment/ written
correctly general examination, relevant clinical findings and group discussion
formulate document and present a management plan for an adult
patient presenting with a common form of congenital heart disease
62
SH/P certify
P
IM1.30 Administer an intramuscular injection with an appropriate S SH Y Bedside clinic, Skill Log book documentation Pharmacology
explanation to the patient assessment of completion
Topic: Acute Myocardial Infarction/ IHD Number of competencies: (24) Number of procedures that require certification : (02)
IM2.1 Discuss and describe the epidemiology, antecedents and risk K KH Y Lecture, Small group Written/ Viva voce Pathology,
factors for atherosclerosis and ischemic heart disease discussion Physiology,
Community Medicine
IM2 2
IM2.2 Discuss the aetiology of risk factors both modifiable and non K KH Y Lecture Small group
Lecture, Written/ Viva voce Pathology Physiology
Pathology,
modifiable of atherosclerosis and IHD discussion
IM2.3 Discuss and describe the lipid cycle and the role of dyslipidemia in K KH Y Lecture, Small group Written/ Viva voce Physiology,
the pathogenesis of atherosclerosis discussion Biochemistry
IM2.4 Discuss and describe the pathogenesis natural history, evolution K KH Y Lecture, Small group Written/ Viva voce Pathology, Physiology
and complications of atherosclerosis and IHD discussion
IM2.5 Define the various acute coronary syndromes and describe their K KH Y Lecture, Small group Written/ Viva voce Pathology
evolution, natural history and outcomes discussion
IM2.6 Elicit document and present an appropriate history that includes S SH Y Bedside clinic, DOAP Skill assessment
onset evolution, presentation risk factors, family history, comorbid session
conditions, complications, medication, history of atherosclerosis,
IHD and coronary syndromes
IM2.7 Perform, demonstrate and document a physical examination S SH Y Bedside clinic, DOAP Skill assessment
including a vascular and cardiac examination that is appropriate for session
the clinical presentation
IM2.8 Generate document and present a differential diagnosis based on S SH Y Bedside clinic, DOAP Skill assessment
the clinical presentation and prioritise based on “cannot miss”, most session
likely diagnosis and severity
IM2.9 Distinguish and differentiate between stable and unstable angina S SH Y Bedside clinic, DOAP Skill assessment
and AMI based on the clinical presentation session
IM2.10 Order, perform and interpret an ECG S P Y Bedside clinic, DOAP Skill assessment 3
session
63
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P
IM2.11 Order and interpret a Chest X-ray and markers of acute myocardial S SH Y Bedside clinic, DOAP Skill assessment
infarction session
IM2.12 Choose and interpret a lipid profile and identify the desirable lipid S SH Y Bedside clinic, DOAP Skill assessment Biochemistry
profile in the clinical context session
IM2.13 Discuss and enumerate the indications for and findings on K KH Y Lecture, Small group Written/ Viva voce
echocardiogram, stress testing and coronary angiogram discussion
IM2.14 Discuss and describe the indications for admission to a coronary K KH Y Lecture, Small group Written/ Viva voce
care unit and supportive therapy for a patient with acute coronary discussion
syndrome
IM2.15 Discuss and describe the medications used in patients with an K KH Y Lecture, Small group Written/ Viva voce Pharmacology
acute coronary syndrome based on the clinical presentation discussion
IM2.16 Discuss and describe the indications for acute thrombolysis, PTCA K KH Y Lecture, Small group Written/ Viva voce
and CABG discussion
IM2.17 Discuss and describe the indications and methods of cardiac K KH Y Lecture, Small group Written/ Viva voce
rehabilitation discussion
IM2.18 Discuss and describe the indications, formulations, doses, side K KH Y Lecture, Small group Written/ Viva voce Pharmacology,
effects and monitoring for drugs used in the management of discussion Biochemistry
dyslipidemia
IM2.19 Discuss and describe the pathogenesis, recognition and K KH Y Lecture, Small group Written/ Viva voce
management of complications of acute coronary syndromes discussion
including arrhythmias, shock, LV dysfunction, papillary muscle
rupture and pericarditis
IM2.20 Discuss and describe the assessment and relief of pain in acute K KH Y Lecture, Small group Written/ Viva voce Pharmacology
coronary syndromes discussion
IM2.21 Observe and participate in a controlled environment an ACLS S KH N DOAP session NA
program
IM2.22 Perform and demonstrate in a mannequin BLS S P Y DOAP session Skill assessment 1
64
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P
IM2.23 Describe and discuss the indications for nitrates, anti platelet K KH Y Lecture, Small group Written/ Viva voce Pharmacology
agents, gpIIb IIIa inhibitors, beta blockers, ACE inhibitors etc in the discussion
management of coronary syndromes
IM2.24 Counsel and communicate to patients with empathy lifestyle C/A SH Y DOAP session Skill assessment AETCOM
changes in atherosclerosis / post coronary syndromes
Topic: Pneumonia Number of competencies: (19) Number of procedures that require certification: (NIL)
IM3.1 Define, discuss, describe and distinguish community acquired K K Y Lecture, Small group Short note/ Viva voce Human Anatomy,
pneumonia, nosocomial pneumonia and aspiration pneumonia discussion Pathology,
Microbiology
IM3.2 Discuss and describe the aetiologies of various kinds of pneumonia K K Y Lecture, Small group Short note/ Viva voce Microbiology
and their microbiology depending on the setting and immune status discussion
of the host
IM3.3 Discuss and describe the pathogenesis, presentation, natural K K Y Lecture, Small group Short note/ Viva voce Pathology,
history and complications of pneumonia discussion Microbiology
IM3.4 Elicit document and present an appropriate history including the S SH Y Bedside clinic, DOAP Skill assessment
evolution, risk factors including immune status and occupational risk session
IM3.5 Perform, document and demonstrate a physical examination S SH Y Bedside clinic, DOAP Skill assessment
including general examination and appropriate examination of the session
lungs that establishes the diagnosis, complications and severity of
disease
IM3.6 Generate document and present a differential diagnosis based on S SH Y Bedside clinic, DOAP Skill assessment
the clinical features, and prioritise the diagnosis based on the session
presentation
IM3.7 Order and interpret diagnostic tests based on the clinical S SH Y Bedside clinic, DOAP Skill assessment Radiodiagnosis,
presentation including: CBC, Chest X ray PA view, Mantoux, sputum session Microbiology
gram stain, sputum culture and sensitivity, pleural fluid examination
and culture, HIV testing and ABG
65
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P
IM3.8 Demonstrate in a mannequin and interpret results of an arterial S SH Y Bedside clinic, DOAP Skill assessment
blood gas examination session
IM3.9 Demonstrate in a mannequin and interpret results of a pleural fluid S SH Y DOAP session Skill assessment
aspiration
IM3.10 Demonstrate the correct technique in a mannequin and interpret S SH Y DOAP session Skill assessment Microbiology
results of a blood culture
IM3 11
IM3.11 Describe and enumerate the indications for further testing including S SH Y clinic DOAP
Bedside clinic, Skill assessment Radiodiagnosis
Radiodiagnosis,
HRCT, Viral cultures, PCR and specialised testing session Microbiology
IM3.12 Select, describe and prescribe based on the most likely aetiology, S SH Y Bed side clinic, DOAP Skill Assessment/ Pharmacology,
an appropriate empirical antimicrobial based on the pharmacology session Written/ Viva voce Microbiology
and antimicrobial spectrum
IM3.13 Select, describe and prescribe based on culture and sensitivity S SH Y Bedside clinic, DOAP Skill assessment/ Pharmacology,
appropriate empaling antimicrobial based on the pharmacology and session Written/ Viva voce Microbiology
antimicrobial spectrum.
IM3.14 Perform and interpret a sputum gram stain and AFB S P Y DOAP session Skill assessment Microbiology
IM3.15 Describe and enumerate the indications for hospitalisation in K K Y Lecture, Small group Short note/ Viva voce
patients with pneumonia discussion
IM3.16 Describe and enumerate the indications for isolation and barrier K K Y Lecture, Small group Short note/ Viva voce
nursing in patients with pneumonia discussion
IM3.17 Describe and discuss the supportive therapy in patients with K K Y Lecture, Small group Short note/ Viva voce
p
pneumonia g oxygen
including yg use and indications for ventilation discussion
IM3.18 Communicate and counsel patient on family on the diagnosis and C/A SH Y DOAP session Skill assessment
therapy of pneumonia
IM3.19 Discuss, describe, enumerate the indications and communicate to S/C K Y Lecture, Small group Short note/ Viva voce Microbiology
patients on pneumococcal and influenza vaccines discussion
Topic: Fever and febrile syndromes Number of competencies: (26) Number of procedures that require certification : (NIL)
66
SH/P certify
P
IM4.1 Describe and discuss the febrile response and the influence of host K K Y Lecture, Small group Written Microbiology
immune status, risk factors and comorbidities on the febrile discussion
response
IM4.2 Describe and discuss the influence of special populations on the K K Y Lecture, Small group Written Microbiology
febrile response including: the elderly, immune suppression, discussion
malignancy and neutropenia, HIV and travel
IM4 3
IM4.3 Discuss and describe the common causes
causes, pathophysiology and K K Y Lecture Small group
Lecture, Written Microbiology
Microbiology,
manifestations of fever in various regions in India including discussion Community Medicine
bacterial, parasitic and viral causes (e.g.Dengue, Chikungunya,
Typhus)
IM4.4 Describe and discuss the pathophysiology and manifestations of K KH Y Lecture, Small group Written Microbiology
inflammatory causes of fever discussion
IM4.5 Describe and discuss the pathophysiology and manifestations of K KH Y Lecture, Small group Written Pathology,
malignant causes of fever including hematologic and lymph node discussion Microbiology
malignancies
IM4.6 Discuss and describe the pathophysiology and manifestations of K KH Y Lecture, Small group Written Microbiology
malaria discussion
IM4.7 Discuss and describe the pathophysiology and manifestations of the K K Y Lecture, Small group Written
sepsis syndrome discussion
IM4.8 Discuss and describe the pathophysiology, aetiology and clinical K K Y Lecture, Small group Written Microbiology
manifestations of fever of unknown origin (FUO) including in a discussion
normal host,
host neutropenic host,
host nosocomial host and a host with HIV
disease
IM4.9 Elicit document and present a medical history that helps delineate S SH Y Bedside clinic, DOAP Skill assessment Microbiology
the aetiology of fever that includes the evolution and pattern of session
fever, associated symptoms, immune status, comorbidities, risk
factors, exposure through occupation, travel and environment and
medication use
67
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P
IM4.10 Perform a systematic examination that establishes the diagnosis S SH Y Bedside clinic, DOAP Skill assessment
and severity of presentation that includes: general skin mucosal and session
lymph node examination, chest and abdominal examination
(including examination of the liver and spleen)
IM4.11 Generate a differential diagnosis and prioritise based on clinical K SH Y Bedside clinic, DOAP Written/ Viva voce
features that help distinguish between infective, inflammatory, session
malignant and rheumatologic causes
IM4.12 Order and interpret diagnostic tests based on the differential K SH Y Bedside clinic, Skill Skill assessment Pathology,
diagnosis including: CBC with differential, peripheral smear, urinary assessment Microbiology
analysis with sediment, Chest X ray, blood and urine cultures,
sputum gram stain and cultures, sputum AFB and cultures, CSF
analysis, pleural and body fluid analysis, stool routine and culture
and QBC
IM4.13 Perform and interpret a sputum gram stain S SH Y DOAP session Log book/ Microbiology
documentation
IM4.14 Perform and interpret a sputum AFB S SH Y DOAP session Log book/ Microbiology
documentation
IM4.15 Perform and interpret a malarial smear S SH Y DOAP session Log book/ Microbiology
documentation/ Skill
assessment
IM4.16 Enumerate the indications and describe the findings in tests of K KH N Lecture, Small group Written Pathology
inflammation and specific rheumatologic tests, serologic testing for discussion
pathogens including HIV, bone marrow aspiration and biopsy
IM4.17 Observe and assist in the performance of a bone marrow aspiration S SH N Skills lab Log book/ Pathology
and biopsy in a simulated environment documentation/ DOAP
session
IM4.18 Enumerate the indications for use of imaging in the diagnosis of K KH N Lecture, Small group Written/ Viva voce
febrile syndromes discussion
IM4.19 Assist in the collection of blood and wound cultures S SH Y DOAP session Log book/ Microbiology
documentation
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IM4.20 Interpret a PPD (Mantoux) S SH Y DOAP session Log book/ documentation Microbiology
IM4.21 Develop and present an appropriate diagnostic plan based on the K KH Y Bedside clinic, Skill Skill assessment
clinical presentation, most likely diagnosis in a prioritised and cost assessment
effective manner
IM4.22 Describe and discuss the pharmacology, indications, adverse K KH Y Lecture, Small group Written/ Viva voce Pharmacology
reactions, interactions of antimalarial drugs and basis of resistance discussion
IM4.23 Prescribe drugs for malaria based on the species identified, S SH Y Small group Skill assessment Microbiology,
prevalence of drug resistance and national programs discussion Pharmacology
IM4.24 Develop an appropriate empiric treatment plan based on the C SH Y DOAP session Skill assessment
patient’s clinical and immune status pending definitive diagnosis
IM4.25 Communicate to the patient and family the diagnosis and treatment C SH Y DOAP session Skill assessment AETCOM
IM4.26 Counsel the patient on malarial prevention C SH Y DOAP session Skill assessment Microbiology,
Pharmacology
Topic: Liver disease Number of competencies: (18) Number of procedures that require certification : (NIL)
IM5.1 Describe and discuss the physiologic and biochemical basis of K K Y Lecture, Small group Written/Viva voce Pathology, Physiology
hyperbilirubinemia discussion
IM5.2 Describe and discuss the aetiology and pathophysiology of liver K K Y Lecture, Small group Written/ Viva voce Pathology, Physiology
injury discussion
IM5.3 Describe and discuss the pathologic changes in various forms of K K Y Lecture, Small group Written/ Viva voce Pathology
liver disease discussion
IM5.4 Describe and discuss the epidemiology, microbiology, immunology K K Y Lecture, Small group Written/ Viva voce Pathology,
and clinical evolution of infective (viral) hepatitis discussion Microbiology
IM5.5 Describe and discuss the pathophysiology and clinical evolution of K K Y Lecture, Small group Written/ Viva voce Pathology
alcoholic liver disease discussion
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IM5.6 Describe and discuss the pathophysiology, clinical evolution and K K Y Lecture, Small group Written/ Viva voce Pathology
complications of cirrhosis and portal hypertension including ascites, discussion
spontaneous bacterial peritonitis, hepatorenal syndrome and
hepatic encephalopathy
IM5.7 Enumerate and describe the causes and K K Y Lecture, Small group Written/ Viva voce Pathology,
pathophysiology of drug induced liver injury discussion Pharmacology
IM5.8 Describe and discuss the pathophysiology, clinical evolution and K K Y Lecture, Small group Written/ Viva voce General Surgery
complications cholelithiasis and cholecystitis discussion
IM5.9 Elicit document and present a medical history that helps delineate S SH Y Bedside clinic, DOAP Skill assessment
the aetiology of the current presentation and includes clinical session
presentation, risk factors, drug use, sexual history, vaccination
history and family history
and severity that includes nutritional status, mental status, jaundice, session
abdominal distension ascites, features of portosystemic
hypertension and hepatic encephalopathy
IM5.11 Generate a differential diagnosis and prioritise based on clinical K KH Y Bedside clinic, DOAP Skill assessment/ Viva
features that suggest a specific aetiology for the presenting session voce
symptom
IM5.12 Choose and interpret appropriate diagnostic tests including: CBC, S KH Y Bedside clinic, DOAP Skill assessment Pathology
bilirubin, function tests, Hepatitis serology and ascitic fluid session
examination in patient with liver diseases.
IM5.13 Enumerate the indications for ultrasound and other imaging studies K K Y Bedside clinic,Small Viva voce/ Written Radiodiagnosis General Surgery
including MRCP and ERCP and describe the findings in liver group discussion
disease
IM5.14 Outline a diagnostic approach to liver disease based on S SH Y Bedside clinic,Small Viva voce/ Written Pathology,
hyperbilirubinemia, liver function changes and hepatitis serology group discussion Microbiology
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IM5.15 Assist in the performance and interpret the findings of an ascitic S KH Y DOAP session documentation in log
fluid analysis book
IM5.16 Describe and discuss the management of hepatitis, cirrhosis, portal K KH Y Written, Small group Skill assessment/ Pharmacology General Surgery
hypertension, ascites spontaneous, bacterial peritonitis and hepatic discussion Written/ Viva voce
encephalopathy
IM5.17 Enumerate the indications, precautions and counsel patients on K/C SH Y Written, Small group Written/ Viva voce Microbiology
vaccination for hepatitis discussion
IM5.18 Enumerate the indications for hepatic transplantation K K Y Written, Small group Written/ Viva voce General Surgery
discussion
Topic: HIV Number of competencies: (23) Number of procedures that require certification : (NIL)
IM6.1 Describe and discuss the symptoms and signs of acute HIV K KH Y Lecture, Small group Short note/ Viva voce Microbiology
seroconversion discussion
IM6.2 Define and classify HIV AIDS based on the CDC criteria K KH Y Lecture, Small group Short notes/ Viva voce Microbiology
discussion
IM6.3 Describe and discuss the relationship between CDC count and the K KH Y Lecture, Small group Short notes/ Viva voce Microbiology
risk of opportunistic infections discussion
IM6.4 Describe and discuss the pathogenesis, evolution and clinical K KH Y Lecture, Small group Short notes/ Viva voce Microbiology
features of common HIV related opportunistic infections discussion
IM6.5 Describe and discuss the pathogenesis, evolution and clinical K KH Y Lecture, Small group Short notes/ Viva voce Pathology,
features of common HIV related malignancies discussion Microbiology
IM6.6 Describe and discuss the pathogenesis, evolution and clinical K KH Y Lecture, Small group Short notes/ Viva voce Pathology,
features of common HIV related skin and oral lesions discussion Microbiology
IM6.7 Elicit document and present a medical history that helps delineate S SH Y Bedside clinic, DOAP Skill assessment
the aetiology of the current presentation and includes risk factors for session
HIV, mode of infection, other sexually transmitted diseases, risks for
opportunistic infections and nutritional status
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IM6.8 Generate a differential diagnosis and prioritise based on clinical S SH Y Bedside clinic, DOAP Skill assessment
features that suggest a specific aetiology for the presenting session, Small group
symptom discussion
IM6.9 Choose and interpret appropriate diagnostic tests to diagnose and K KH Y Bedside clinic, DOAP Written/ Skill Pathology,
classify the severity of HIV-AIDS including specific tests of HIV, session, Small group assessment Microbiology
CDC discussion
IM6.10 Choose and interpret appropriate diagnostic tests to diagnose S KH Y Bedside clinic, DOAP Written/ Skill
opportunistic infections including CBC
CBC, sputum examination and session Small group
session, assessment
cultures, blood cultures, stool analysis, CSF analysis and Chest discussion
radiographs
IM6.11 Enumerate the indications and describe the findings for CT of the K K N Small group Written/ Viva voce Radiodiagnosis
chest and brain and MRI discussion, Lecture,
Bedside clinic
IM6.12 Enumerate the indications for and interpret the results of: pulse K KH Y Bedside clinic, DOAP Written/ Skill
oximetry, ABG, Chest Radiograph session, Small group assessment
discussion
IM6.13 Describe and enumerate the indications and side effects of drugs K K Y Lecture, Small group Written/ Viva voce Pharmacology,
for bacterial, viral and other types of diarrhea discussion Microbiology
IM6.14 Perform and interpret AFB sputum S P Y DOAP session Skill assessment Microbiology
IM6.15 Demonstrate in a model the correct technique to perform a lumbar S SH Y Simulation Skill assessment Microbiology
puncture
IM6.16 Discuss and describe the principles of HAART, the classes of K K Y Lecture, Small group Written/ Viva voce Microbiology,
antiretrovirals used, adverse reactions and interactions discussion Pharmacology
IM6.17 Discuss and describe the principles and regimens used in post K K Y Lecture, Small group Written/ Viva voce Microbiology,
exposure prophylaxis discussion Pharmacology
IM6.18 Enumerate the indications and discuss prophylactic drugs used to K/C K Y Lecture, Small group Written/ Viva voce Pathology,
prevent HIV related opportunistic infections discussion Microbiology
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IM6.19 Counsel patients on prevention of HIV transmission C SH Y DOAP session Skills assessment AETCOM
IM6.20 Communicate diagnosis, treatment plan and subsequent follow up C SH Y DOAP session Skills assessment AETCOM
plan to patients
IM6.21 Communicate with patients on the importance of medication C SH Y DOAP session Skills assessment AETCOM
adherence
IM6.22 Demonstrate understanding of ethical and legal issues regarding K/A SH Y DOAP session, Small Viva voce/ Written/ Skill AETCOM
patient confidentiality and disclosure in patients with HIV group discussion Assessment
IM6.23 Demonstrate a non-judgemental attitude to patients with HIV and to A SH Y Small group observation by teacher AETCOM
their lifestyles discussion
Topic: Rheumatologic problems Number of competencies: (27) Number of procedures that require certification: (NIL)
IM7.1 Describe the pathophysiology of autoimmune disease K KH Y Lecture, Small group Written/ Viva voce Pathology
discussion
IM7.2 Describe the genetic basis of autoimmune disease K KH N Lecture, Small group Written/ Viva voce Pathology
discussion
IM7.3 Classify cause of joint pain based on the pathophysiology K KH Y Lecture, Small group Written/ Viva voce
discussion
IM7.4 Develop a systematic clinical approach to joint pain based on the K KH Y Lecture, Small group Written/ Viva voce Orthopedics
pathophysiology discussion
IM7.5 Describe and discriminate acute, subacute and chronic causes of K KH Y Lecture, Small group Written/ Viva voce Orthopedics
jjoint
i t pain
i discussion
di i
IM7.6 Discriminate, describe and discuss arthralgia from arthritis and K KH Y Lecture, Small group Written/ Viva voce Orthopedics
mechanical from inflammatory causes of joint pain discussion
IM7.7 Discriminate, describe and discuss distinguishing articular from K KH Y Lecture, Small group Written/ Viva voce Orthopedics
periarticular complaints discussion
IM7.8 Determine the potential causes of join pain based on the presenting K KH Y Lecture, Small group Written/ Viva voce Orthopedics
features of joint involvement discussion
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IM7.9 Describe the common signs and symptoms of articular and K KH Y Lecture, Small group Written/ Viva voce Orthopedics
periarticular diseases discussion
IM7.10 Describe the systemic manifestations of rheumatologic disease K KH Y Lecture, Small group Written/ Viva voce
discussion
IM7.11 Elicit document and present a medical history that will differentiate S SH Y Bedside clinic, DOAP Skill assessment
the aetiologies of disease session
IM7.12 Perform a systematic

y examination of all joints,
j muscle and skin that S SH Y Bedside clinic, DOAP Skill assessment Orthopedics
will establish the diagnosis and severity of disease session
IM7.13 Generate a differential diagnosis and prioritise based on clinical K/S KH Y Bedside clinic, Small Skill assessment/
features that suggest a specific aetiology group discussion Written
IM7.14 Describe the appropriate diagnostic work up based on the K KH Y Bedside clinic, Small Skill assessment/
presumed aetiology group discussion Written
IM7.15 Enumerate the indications for and interpret the results of : CBC, anti- K SH Y Bedside clinic, Small Skill assessment/ Pathology
CCP, RA, ANA, DNA and other tests of autoimmunity group discussion Written
IM7.16 Enumerate the indications for arthrocentesis K K Y Small group Written/ Viva voce Orthopedics
discussion, Lecture
IM7.17 Enumerate the indications and interpret plain radiographs of joints K SH Y Bedside clinic, Small Skill assessment/ Radiodiagnosis Orthopedics
group discussion Written
IM7.18 Communicate diagnosis, treatment plan and subsequent follow up C SH Y DOAP session Skill assessment/
plan to patients Written
IM7.19 Develop an appropriate treatment plan for patients with K KH Y Bedside clinic, Small Skill assessment/
rheumatologic diseases group discussion Written
IM7.20 Select, prescribe and communicate appropriate medications for K/C SH Y DOAP session Skill assessment/ Pharmacology Orthopedics
relief of joint pain Written
IM7.21 Select, prescribe and communicate preventive therapy for crystalline K/C SH Y DOAP session Skill assessment/ Pharmacology
arthropathies Written
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IM7.22 Select, prescribe and communicate treatment option for systemic K/C SH Y DOAP session Skill assessment/ Pharmacology
rheumatologic conditions Written
IM7.23 Describe the basis for biologic and disease modifying therapy in K KH Y Bedside clinic, Small Skill assessment/ Pharmacology
rheumatologic diseases group discussion Written
IM7.24 Communicate and incorporate patient preferences in the choice of C/A SH Y DOAP session Skill assessment AETCOM
therapy
IM7 25
IM7.25 D l and
Develop d communicate
i t appropriate
i t ffollow
ll d monitoring
up and it i C SH Y i
DOAP session Skill assessmentt
plans for patients with rheumatologic conditions
IM7.26 Demonstrate an understanding of the impact of rheumatologic A SH Y DOAP session Skill assessment
conditions on quality of life, well being, work and family
IM7.27 Determine the need for specialist consultation K K Y Small group Viva voce
discussion, Lecture
Topic: Hypertension Number of competencies: (20) Number of procedures that require certification: (NIL)
IM8.1 Describe and discuss the epidemiology, aetiology and the K KH Y Lecture, Small group Written/ Viva voce Pathology, Physiology
prevalence of primary and secondary hypertension discussion
IM8.2 Describe and discuss the pathophysiology of hypertension K KH Y Lecture, Small group Written/ Viva voce Pathology, Physiology
discussion
IM8.3 Describe and discuss the genetic basis of hypertension K KH N Lecture, Small group Written/ Viva voce Pathology
discussion
IM8.4 Define and classify hypertension K KH Y Lecture, Small group Written/ Viva voce Pathology
discussion
IM8.5 Describe and discuss the differences between primary and K KH Y Lecture, Small group Written/ Viva voce Pathology
secondary hypertension discussion
IM8.6 Define, describe and discuss and recognise hypertensive urgency K KH Y Lecture, Small group Written/ Viva voce
and emergency discussion
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IM8.7 Describe and discuss the clinical manifestations of the various K KH Y Lecture, Small group Written/ Viva voce Pathology
aetiologies of secondary causes of hypertension discussion
IM8.8 Describe, discuss and identify target organ damage due to K KH Y Lecture, Small group Written/ Viva voce Pathology
hypertension discussion
IM8.9 Elicit document and present a medical history that includes: duration K SH Y Bedside clinic, DOAP Skill assessment
and levels, symptoms, comorbidities, lifestyle, risk factors, family session
history, psychosocial and environmental factors, dietary
assessment, previous and concomitant therapy
IM8.10 Perform a systematic examination that includes : an accurate S SH Y Bedside clinic, DOAP Skill assessment
measurement of blood pressure, fundus examination, examination session
of vasculature and heart
IM8.11 Generate a differential diagnosis and prioritise based on clinical S SH Y Bedside clinic, DOAP Skill assessment
features that suggest a specific aetiology session
IM8.12 Describe the appropriate diagnostic work up based on the K KH Y Small group Skill assessment/
presumed aetiology discussion Written/ Viva voce
IM8.13 Enumerate the indications for and interpret the results of : CBC, K KH Y Small group Skill assessment/
Urine routine, BUN, Cr, Electrolytes, Uric acid, ECG discussion Written/ Viva voce
IM8.14 Develop an appropriate treatment plan for essential hypertension K KH Y Small group Written/ Viva voce Pharmacology
discussion
IM8.15 Recognise, prioritise and manage hypertensive emergencies S SH Y DOAP session Skill assessment/ Pharmacology
Written
IM8.16 Develop and communicate to the patient lifestyle modification C SH Y DOAP session Skill assessment
including weight reduction, moderation of alcohol intake, physical
activity and sodium intake
IM8.17 Perform and interpret a 12 lead ECG S P Y DOAP session documentation in log
book/ skills station
IM8.18 Incorporate patient preferences in the management of HTN A/C SH Y DOAP session Skill assessment
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IM8.19 Demonstrate understanding of the impact of Hypertension on quality A SH Y Bedside clinic, DOAP observation by faculty
of life, well being, work and family session
IM8.20 Determine the need for specialist consultation K KH Y Lecture, Small group Written/ Viva voce
discussion
Topic: Anemia Number of competencies: (21) Number of procedures that require certification : (NIL)
IM9.1 Define, describe and classify anemia based on red blood cell size K KH Y Lecture, Small group Written/ Viva voce Pathology
and reticulocyte
y count discussion
IM9.2 Describe and discuss the morphological characteristics, aetiology K KH Y Lecture, Small group Written/ Viva voce Pathology
and prevalence of each of the causes of anemia discussion
IM9.3 Elicit document and present a medical history that includes S SH Y Bed side clinic, DOAP Skill assessment
symptoms, risk factors including GI bleeding, prior history, session
medications, menstrual history, and family history
IM9.4 Perform a systematic examination that includes : general S SH Y Bedside clinic, DOAP Skill assessment
examination for pallor, oral examination, DOAP session of hyper session
dynamic circulation, lymph node and splenic examination
IM9.5 Generate a differential diagnosis and prioritise based on clinical S SH Y Bedside clinic, DOAP Skill assessment/ Pathology
features that suggest a specific aetiology session Written
IM9.6 Describe the appropriate diagnostic work up based on the S SH Y Bedside clinic, DOAP Skill assessment/ Pathology
presumed aetiology session Written
IM9.7 Describe and discuss the meaning and utility of various components K KH Y Lecture, Small group Written/ Viva voce/ Skill Pathology
off the
th hemogram
h discussion
di i assessmentt
IM9.8 Describe and discuss the various tests for iron deficiency K KH Y Lecture, Small group Written/ Viva voce/ Skill Pathology
discussion assessment
IM9.9 Order and interpret tests for anemia including hemogram, red cell S SH Y Bedside clinic, DOAP Skill assessment/ Pathology
indices, reticulocyte count, iron studies, B12 and folate session Written
IM9.10 Describe, perform and interpret a peripheral smear and stool occult S SH P Bedside clinic, DOAP Skill assessment/ Pathology
blood session Written
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IM9.11 Describe the indications and interpret the results of a bone marrow K KH Y Lecture, Small group Written/ Viva voce/ Skill Pathology
aspirations and biopsy discussion assessment
IM9.12 Describe, develop a diagnostic plan to determine the aetiology of K KH Y Lecture, Small group Written/ Viva voce/ Skill Pathology
anemia discussion assessment
IM9.13 Prescribe replacement therapy with iron, B12, folate S SH Y Bedside clinic, DOAP Skill assessment/ Pharmacology
session Written
IM9.14 Describe the national programs for anemia prevention K KH Y Lecture, Small group Written/ Viva voce Pharmacology,
IM9.15 Communicate the diagnosis and the treatment appropriately to C SH Y DOAP session Skill assessment
patients
IM9.16 Incorporate patient preferences in the management of anemia C SH Y DOAP session Skill assessment
IM9.17 Describe the indications for blood transfusion and the appropriate K KH Y Lecture, Small group Written/ Viva voce/ Skill Pathology
use of blood components discussion assessment
IM9.18 Describe the precautions required necessary when performing a K KH Y Lecture, Small group Written/ Viva voce/ Skill
blood transfusion discussion assessment
IM9.19 Assist in a blood transfusion S SH Y Bedside clinic document in log book
IM9.20 Communicate and counsel patients with methods to prevent C SH Y DOAP session Skill assessment
nutritional anemia
IM9.21 Determine the need for specialist consultation K KH Y Lecture, Small group Written
discussion
Topic: Acute Kidney Injury and Chronic renal failure Number of competencies: (31) Number of procedures that require certification: (NIL)
IM10.1 Define, describe and differentiate between acute and chronic renal K KH Y Lecture, Small group Written/ Viva voce Pathology
failure discussion
IM10.2 Classify, describe and differentiate the pathophysiologic causes of K KH Y Lecture, Small group Written/ Viva voce Pathology
acute renal failure discussion
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IM10.3 Describe the pathophysiology and causes of pre renal ARF, renal K KH Y Lecture, Small group Written/ Viva voce Pathology
and post renal ARF discussion
IM10.4 Describe the evolution, natural history and treatment of ARF K KH Y Lecture, Small group Written/ Viva voce Pathology
discussion
IM10.5 Describe and discuss the aetiology of CRF K KH Y Lecture, Small group Written/ Viva voce Pathology
discussion
IM10.6 Stage Chronic Kidney Disease K KH Y Lecture, Small group Written/ Viva voce Pathology
discussion
IM10.7 Describe and discuss the pathophysiology and clinical findings of K KH Y Lecture, Small group Written/ Viva voce Pathology
uraemia discussion
IM10.8 Classify, describe and discuss the significance of proteinuria in CKD K KH Y Lecture, Small group Written/ Viva voce Pathology
discussion
IM10.9 Describe and discuss the pathophysiology of anemia and K KH Y Lecture, Small group Written/ Viva voce Pathology
hyperparathyroidism in CKD discussion
IM10.10 Describe and discuss the association between CKD glycemia and K KH Y Lecture, Small group Written/ Viva voce Pathology
hypertension discussion
IM10.11 Describe and discuss the relationship between CAD risk factors and K KH Y Lecture, Small group Written/ Viva voce Pathology
CKD and in dialysis discussion
the aetiologies of disease, distinguish acute and chronic disease, session
identify predisposing conditions, nephrotoxic drugs and systemic
causes
and severity including determination of volume status, presence of session
edema and heart failure, features of uraemia and associated
systemic disease
IM10.14 Generate a differential diagnosis and prioritise based on clinical K KH Y DOAP session, Small Skill assessment/
features that suggest a specific aetiology group discussion Written/ Viva voce
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IM10.15 Describe the appropriate diagnostic work up based on the K SH Y DOAP session, Small Skill assessment/
presumed aetiology group discussion Written/ Viva voce
IM10.16 Enumerate the indications for and interpret the results of : renal K KH Y DOAP session, Small Skill assessment/ Pathology
function tests, calcium, phosphorus, PTH, urine electrolytes, group discussion Written/ Viva voce
osmolality, Anion gap
IM10.17 Describe and calculate indices of renal function based on available S SH Y DOAP session, Small Skill assessment/ Pathology
laboratories including FENa (Fractional Excretion of Sodium) and group discussion Written/ Viva voce
CrCl (Creatinine Clearance)
IM10.18 Identify the ECG findings in hyperkalemia S SH Y DOAP session, Small Skill assessment/
group discussion Written/ Viva voce
IM10.19 Enumerate the indications and describe the findings in renal K KH N Lecture, Small group Written/ Viva voce Radiodiagnosis
ultrasound discussion
IM10.20 Describe and discuss the indications to perform arterial blood gas S P Y DOAP session documentation in log
analysis: interpret the data book
IM10.21 Describe and discuss the indications for and insert a peripheral S P Y DOAP session, documentation in
intravenous catheter Bedside clinic logbook
IM10.22 Describe and discuss the indications, demonstrate in a model and S SH N DOAP session Skill assessment with
assist in the insertion of a central venous or a dialysis catheter model
IM10.23 Communicate diagnosis treatment plan and subsequent follow up C SH Y DOAP session Skill assessment
plan to patients
IM10.24 Counsel patients on a renal diet K SH Y DOAP session Skill assessment
IM10.25 Identify and describe the priorities in the management of ARF K/C KH Y Lecture, Small group Written/ Viva voce Pharmacology
including diet, volume management, alteration in doses of drugs, discussion
monitoring and indications for dialysis
IM10.26 Describe and discuss supportive therapy in CKD including diet, anti K KH Y Written/ Viva voce
hypertensives, glycemic therapy, dyslipidemia, anemia, Lecture, Small group
hyperkalemia, hyperphosphatemia and secondary discussion
hyperparathyroidism
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IM10.27 Describe and discuss the indications for renal dialysis C/A KH Y Lecture, Small group Written/ Viva voce
discussion
IM10.28 Describe and discuss the indications for renal replacement therapy C KH Y Lecture, Small group Written/ Viva voce
discussion
IM10.29 Describe discuss and communicate the ethical and legal issues C/A KH Y Lecture, Small group Written/ Viva voce
involved in renal replacement therapy discussion
IM10.30 Recognise the impact of CKD on patient’s quality of life well being A K Y Lecture, Small group observation by faculty
work and family discussion, Bedside
clinic
IM10.31 Incorporate patient preferences in to the care of CKD A/C KH Y Lecture, Small group observation by faculty
discussion, Bedside
clinic
Topic: Diabetes Mellitus Number of competencies: (24) Number of procedures that require certification : (02)
IM11.1 Define and classify diabetes K KH Y Lecture, Small group Written/ Viva voce
discussion
IM11.2 Describe and discuss the epidemiology and pathogenesis and risk K KH Y Lecture, Small group Written/ Viva voce Pathology
factors and clinical evolution of type 1 diabetes discussion
IM11.3 Describe and discuss the epidemiology and pathogenesis and risk K KH Y Lecture, Small group Written/ Viva voce Pathology
factors economic impact and clinical evolution of type 2 diabetes discussion
IM11.4
IM11 4 Describe
D ib and discuss th
d di the genetic
ti bbackground
k d and the iinfluence
d th fl off K KH N Lecture,
L t Small
S ll group Written/
W itt / Viva
Vi voce
the environment on diabetes discussion
IM11.5 Describe and discuss the pathogenesis and temporal evolution of K KH Y Lecture, Small group Written/ Viva voce Pathology
microvascular and macrovascular complications of diabetes discussion
IM11.6 Describe and discuss the pathogenesis and precipitating factors, K KH Y Lecture, Small group Written/ Viva voce
recognition and management of diabetic emergencies discussion
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the aetiologies of diabetes including risk factors, precipitating session
factors, lifestyle, nutritional history, family history, medication
history, co-morbidities and target organ disease
and severity that includes skin, peripheral pulses, blood pressure session
measurement, fundus examination, detailed examination of the foot
(pulses, nervous and deformities and injuries)
IM11.9 Describe and recognise the clinical features of patients who present K KH Y Small group Written/ Viva voce
with a diabetic emergency discussion, Lecture
IM11.10 Generate a differential diagnosis and prioritise based on clinical K KH Y Small group Written/ Viva voce
features that suggest a specific aetiology discussion, Lecture
IM11.11 Order and interpret laboratory tests to diagnose diabetes and its S SH Y Bedside clinic, DOAP Skill assessment Pathology
complications including: glucoses, glucose tolerance test, session
glycosylated hemoglobin, urinary micro albumin, ECG, electrolytes,
ABG, ketones, renal function tests and lipid profile
IM11.12 Perform and interpret a capillary blood glucose test S P Y Bedside clinic, DOAP Skill assessment 2 Pathology,
session Biochemistry
IM11.13 Perform and interpret a urinary ketone estimation with a dipstick S P Y Bedside clinic, DOAP Skill assessment 2 Pathology,
session Biochemistry
IM11.14 Recognise the presentation of hypoglycaemia and outline the K KH Y Small Group Written/ Viva voce
principles on its therapy discussion, Lecture
IM11.15 Recognise the presentation of diabetic emergencies and outline the K KH Y Small Group Written/ Viva voce
principles of therapy discussion, Lecture
IM11.16 Discuss and describe the pharmacologic therapies for diabetes their K KH Y Small Group Written/ Viva voce Pharmacology
indications, contraindications, adverse reactions and interactions discussion, Lecture
IM11.17 Outline a therapeutic approach to therapy of T2Diabetes based on K KH Y Small Group Written/ Viva voce
presentation, severity and complications in a cost effective manner discussion, Lecture
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IM11.18 Describe and discuss the pharmacology, indications, adverse K KH Y Lecture, Small group Written/ Viva voce Pharmacology
reactions and interactions of drugs used in the prevention and discussion
treatment of target organ damage and complications of Type II
Diabetes including neuropathy, nephropathy, retinopathy,
hypertension, dyslipidemia and cardiovascular disease
IM11.19 Demonstrate and counsel patients on the correct technique to S/C SH Y DOAP session Skill assessment Pharmacology
administer insulin
IM11.20 Demonstrate to and counsel patients on the correct technique of self S/C SH Y DOAP session Skill assessment
monitoring of blood glucoses
IM11.21 Recognise the importance of patient preference while selecting A KH Y DOAP session faculty observation
therapy for diabetes
IM11.22 Enumerate the causes of hypoglycaemia and describe the counter K KH Y Lecture, Small group Written/ Viva voce Pathology, Physiology
hormone response and the initial approach and treatment discussion
IM11.23 Describe the precipitating causes, K KH Y Lecture, Small group Written/ Viva voce
pathophysiology, recognition, clinical features, diagnosis, discussion
stabilisation and management of diabetic ketoacidosis
IM11.24 Describe the precipitating causes, pathophysiology, recognition, K KH N Lecture, Small group Written/ Viva voce
clinical features, diagnosis, stabilisation and management of discussion
Hyperosmolar non ketotic state
Topic: Thyroid dysfunction Number of competencies: (15) Number of procedures that require certification : (NIL)
IM12.1 Describe the epidemiology and pathogenesis of hypothyroidism and K K Y Lecture, Small group Written/ Viva voce Pathology, Physiology
hyperthyroidism including the influence of iodine deficiency and discussion
autoimmunity in the pathogenesis of thyroid disease
IM12.2 Describe and discuss the genetic basis of some forms of thyroid K K N Lecture, Small group Written/ Viva voce
dysfunction discussion
IM12.3 Describe and discuss the physiology of the hypothalamopituitary - K K Y Lecture, Small group Short notes Pathology, Physiology
thyroid axis, principles of thyroid function testing and alterations in discussion
physiologic function
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IM12.4 Describe and discuss the principles of radio iodine uptake in the K KH Y Lecture, Small group Short notes/ Viva voce
diagnosis of thyroid disorders discussion
IM12.5 Elicit document and present an appropriate history that will establish S SH Y Bedside clinic Skill assessment/ Short
the diagnosis cause of thyroid dysfunction and its severity case
IM12.6 Perform and demonstrate a systematic examination based on the S SH Y Bed side clinic, DOAP Skill assessment General Surgery
history that will help establish the diagnosis and severity including session
systemic signs of thyrotoxicosis and hypothyroidism, palpation of
the pulse for rate and rhythm abnormalities,
abnormalities neck palpation of the
thyroid and lymph nodes and cardiovascular findings
IM12.7 Demonstrate the correct technique to palpate the thyroid S SH Y Bedside clinic, DOAP Skill assessment General Surgery
session
IM12.8 Generate a differential diagnosis based on the clinical presentation K KH Y Bedside clinic, small Short case General Surgery
and prioritise it based on the most likely diagnosis group discussion
IM12.9 Order and interpret diagnostic testing based on the clinical S SH Y Bedside clinic, DOAP Skill assessment General Surgery
diagnosis including CBC, thyroid function tests and ECG and radio session
iodine uptake and scan
IM12.10 Identify atrial fibrillation, pericardial effusion and bradycardia on S SH Y Bedside clinic, lab Skill assessment General Surgery
ECG
IM12.11 Interpret thyroid function tests in hypo and hyperthyroidism S SH Y Bedside clinic, lab Skill assessment General Surgery
IM12.12 Describe and discuss the iodisation programs of the government of K KH Y Lecture, Bedside clinic Short note Community Medicine
India
IM12.13 Describe the pharmacology, indications, adverse reaction, K KH Y Lecture, Small group Viva voce/ Short note Pharmacology General Surgery
interactions of thyroxine and antithyroid drugs discussion
IM12.14 Write and communicate to the patient appropriately a prescription S/C SH Y Skill assessment Skill assessment Pharmacology
for thyroxine based on age, sex, and clinical and biochemical status
IM12.15 Describe and discuss the indications of thionamide therapy, radio K KH Y Bedside clinic, Small Short note/ Viva voce Pharmacology General Surgery
iodine therapy and surgery in the management of thyrotoxicosis group discussion
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Topic: Common malignancies Number of competencies: (19) Number of procedures that require certification : (NIL)
IM13.1 Describe the clinical epidemiology and inherited & modifiable risk K K Y Lecture, Small group Short note/ Viva voce Pathology,
factors for common malignancies in India discussion Biochemistry
IM13.2 Describe the genetic basis of selected cancers K K N Lecture, Small group Short note/ Viva voce Pathology
discussion
IM13.3 Describe the relationship between infection and cancers K K Y Lecture, Small group Short note/ Viva voce Pathology,
IM13.4 Describe the natural history, presentation, course, complications K K Y Lecture, Small group Short note/ Viva voce Pathology
and cause of death for common cancers discussion
IM13.5 Describe the common issues encountered in patients at the end of K K N Lecture, Small group Short note/ Viva voce
life and principles of management discussion
IM13.6 Describe and distinguish the difference between curative and K K N Lecture, Small group Short note/ Viva voce Pharmacology
palliative care in patients with cancer discussion
IM13.7 Elicit document and present a history that will help establish the S K Y Bedside clinic Skill assessment/ Short General Surgery
aetiology of cancer and includes the appropriate risk factors, case
duration and evolution
IM13.8 Perform and demonstrate a physical examination that includes an S SH Y Bedside clinic Skill assessment/ short General Surgery
appropriate general and local examination that excludes the case
diagnosis, extent spread and complications of cancer
IM13.9 Demonstrate in a mannequin the correct technique for performing S K Y Bedside clinic Skill assessment/ Short Human Anatomy General Surgery
breast exam,
exam rectal examination and cervical examination and pap case
smear
IM13.10 Generate a differential diagnosis based on the presenting symptoms S K Y Bedside clinic Skill assessment/ Short General Surgery
and clinical features and prioritise based on the most likely case
diagnosis
IM13.11 Order and interpret diagnostic testing based on the clinical S K Y Bedside clinic Skill assessment/ Short
diagnosis including CBC and stool occult blood and prostate case
specific antigen
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IM13.12 Describe the indications and interpret the results of Chest X Ray, K KH Y Bedside clinic, Small Short note/ Viva voce Radiodiagnosis
mammogram, skin and tissue biopsies and tumor markers used in group discussion
common cancers
IM13.13 Describe and assess pain and suffering objectively in a patient with K KH Y Bedside clinic, Small Short note/ Viva voce Pharmacology General Surgery
cancer group discussion
IM13.14 Describe the indications for surgery, radiation and chemotherapy for K KH Y Bedside clinic, Small Short note/ Viva voce Pharmacology General Surgery
common malignancies group discussion
IM13.15 Describe the need, tests involved, their utility in the prevention of K KH Y Bedside clinic, Small Short note/ Viva voce Pathology
common malignancies group discussion
IM13.16 Demonstrate an understanding and needs and preferences of A/C KH Y Bedside clinic, small Short note/ Viva voce AETCOM
patients when choosing curative and palliative therapy group discussion
IM13.17 Describe and enumerate the indications, use, side effects of K KH Y Bedside clinic,Small Short note/ Viva voce Pharmacology Anesthesiology
narcotics in pain alleviation in patients with cancer group discussion
IM13.18 Describe and discuss the ethical and the medico legal issues K KH Y Bedside clinic, Small Short note/ Viva voce AETCOM
involved in end of life care group discussion
IM13.19 Describe the therapies used in alleviating suffering in patients at the K KH Y Bedside clinic, Small Short note/ Viva voce AETCOM
end of life group discussion
Topic: Obesity Number of competencies: (15) Number of procedures that require certification: ( NIL)
IM14.1 Define
f and measure obesity as it relates to the Indian population K K Y Lecture, Small
S group Short
S note// Viva voce
discussion
IM14.2 Describe and discuss the aetiology of obesity including modifiable K K Y Lecture, Small group Short note/ Viva voce Pathology
and non-modifiable risk factors and secondary causes discussion
IM14.3 Describe and discuss the monogenic forms of obesity K K N Lecture, Small group Short note/ Viva voce Pathology
discussion
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IM14.4 Describe and discuss the impact of environmental factors including K K Y Lecture, Small group Short note/ Viva voce Pathology, Community
eating habits, food, work, environment and physical activity on the discussion Medicine
incidence of obesity
IM14.5 Describe and discuss the natural history of obesity and its K K Y Lecture, Small group Short note/ Viva voce Pathology
complications discussion
IM14.6 Elicit and document and present an appropriate history that includes S SH Y Bedside clinic, Skills Skill assessment
the natural history, dietary history, modifiable risk factors, family lab
history clues for secondary causes and motivation to lose weight
history,
IM14.7 Perform, document and demonstrate a physical examination based S SH Y Bedside clinic, Skills Skill assessment
on the history that includes general examination, measurement of lab
abdominal obesity, signs of secondary causes and comorbidities
IM14.8 Generate a differential diagnosis based on the presenting symptoms S SH Y Bedside clinic,Skills Skill assessment/ Short
and clinical features and prioritise based on the most likely lab note/ Viva voce
diagnosis
IM14.9 Order and interpret diagnostic tests based on the clinical diagnosis S SH Y Bedside clinic, Skills Skill assessment/ Short
including blood glucose, lipids, thyroid function tests etc. lab, Small group note/ Viva voce
discussion
IM14.10 Describe the indications and interpret the results of tests for K KH Y Bedside clinic, Skills Skill assessment/ Short
secondary causes of obesity lab, Small group note/ Viva voce
discussion
IM14.11 Communicate and counsel patient on behavioural, dietary and C SH Y Bedside clinic, Skills Skill assessment
y modifications
lifestyle lab
IM14.12 Demonstrate an understanding of patient’s inability to adhere to A/C SH Y Bedside clinic, Skills Skill assessment
lifestyle instructions and counsel them in a non - judgemental way lab
IM14.13 Describe and enumerate the indications, pharmacology and side K K Y Lecture, Small group Short note/ Viva voce Pharmacology
effects of pharmacotherapy for obesity discussion
IM14.14 Describe and enumerate the indications and side effects of bariatric K K Y Lecture, Small group Short note/ Viva voce General Surgery
surgery discussion
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IM14.15 Describe and enumerate and educate patients, health care workers K K Y Lecture, Small group Short note/ Viva voce
and the public on measures to prevent obesity and promote a discussion
healthy lifestyle
Topic: GI bleeding Number of competencies: (18) Number of procedures that require certification : ( NIL)
IM15.1 Enumerate, describe and discuss the aetiology of upper and lower K KH Y Lecture, Small group Short note/ Viva voce Pathology General Surgery
GI bleeding discussion
IM15.2 Enumerate, describe and discuss the evaluation and steps involved S SH Y DOAP session, Small Written/ Viva voce/ Skill Pathology General Surgery
in stabilizing a patient who presents with acute volume loss and GI group discussion, assessment
bleed Lecture
IM15.3 Describe and discuss the physiologic effects of acute blood and K K Y Lecture, Small group Short note/ Viva voce Pathology, Physiology General Surgery
volume loss discussion
IM15.4 Elicit and document and present an appropriate history that S SH Y Bedside clinic Skill assessment General Surgery
identifies the route of bleeding, quantity, grade, volume loss,
duration, etiology, comorbid illnesses and risk factors
IM15.5 Perform, demonstrate and document a physical examination based S SH Y Bedside clinic, Skills Skill assessment General Surgery
on the history that includes general examination, volume lab
assessment and appropriate abdominal examination
IM15.6 Distinguish between upper and lower S KH Y Lecture, Small group Short note/ Viva voce General Surgery
gastrointestinal bleeding based on the clinical features discussion
IM15.7 q to p
Demonstrate the correct technique perform an anal and rectal S SH Y DOAP session Skill assessment g y
General Surgery
examination in a mannequin or equivalent
IM15.8 Generate a differential diagnosis based on the presenting symptoms S SH Y Bedside clinic, Skills Skill assessment/ Short General Surgery
diagnosis
IM15.9 Choose and interpret diagnostic tests based on the clinical S SH Y Bedside clinic, DOAP Skill assessment/ Short Pathology General Surgery
diagnosis including complete blood count, PT and PTT, stool session, Small group note/ Viva voce
examination, occult blood, liver function tests, H.pylori test. discussion
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IM15.10 Enumerate the indications for endoscopy, colonoscopy and other K KH Y Lecture, Small group Written/ Viva voce General Surgery
imaging procedures in the investigation of Upper GI bleeding discussion
IM15.11 Develop, document and present a treatment plan that includes fluid S KH Y Lecture, Small group Short note/ Viva voce Pathology General Surgery
resuscitation, blood and blood component transfusion, and specific discussion
therapy for arresting blood loss
IM15.12 Enumerate the indications for whole blood, component and platelet K K Y Lecture, Small group Short note/ Viva voce Pathology General Surgery
transfusion and describe the clinical features and management of a discussion
mismatched transfusion
IM15.13 Observe cross matching and blood / blood component transfusion S SH Y Bedside clinic Short note/ Viva voce/ Pathology General Surgery
Skill assessment
IM15.14 Describe and enumerate the indications, pharmacology and side K K Y Lecture, Small group Short note/Viva voce Pharmacology General Surgery
effects of pharmacotherapy of pressors used in the treatment of discussion
Upper GI bleed
IM15.15 Describe and enumerate the indications, pharmacology and side K K Y Lecture, Small group Short note/ Viva voce Pharmacology, General Surgery
effects of pharmacotherapy of acid peptic disease including discussion Microbiology
Helicobacter pylori
IM15.16 Enumerate the indications for endoscopic interventions and Surgery K K Y Lecture, Small group Short note/ Viva voce General Surgery
discussion
IM15.17 Determine appropriate level of specialist consultation S K Y Small group General Surgery
discussion
IM15.18 Counsel the family and patient in an empathetic non-judgmental S SH Y DOAP session Skill assessment General Surgery
manner on the diagnosis and therapeutic options
Topic: Diarrheal disorder Number of competencies: (17) Number of procedures that require certification : (NIL)
IM16.1 Describe and discuss the aetiology of acute and chronic diarrhea K K Y Lecture, Small group Short note/ Viva voce Microbiology
including infectious and non infectious causes discussion
IM16.2 Describe and discuss the acute systemic consequences of diarrhea K K Y Lecture, Small group Short note/ Viva voce
including its impact on fluid balance discussion
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IM16.3 Describe and discuss the chronic effects of diarrhea including K K Y Lecture, Small group Short note/ Viva voce
malabsorption discussion
IM16.4 Elicit and document and present an appropriate history that includes S SH Y Bedside clinic, Skills Skill assessment Microbiology,
the natural history, dietary history, travel , sexual history and other lab Pathology
concomitant illnesses
IM16.5 Perform, document and demonstrate a physical examination based S SH Y Bedside clinic, Skills Skill assessment
on the history that includes general examination, including an lab
appropriate abdominal examination
IM16.6 Distinguish between diarrhea and dysentery based on clinical S KH Y Lecture, Small group Short note/ Viva voce
features discussion
IM16.7 Generate a differential diagnosis based on the presenting symptoms S SH Y Bedside clinic, Skills Skill assessment/ short
diagnosis
IM16.8 Choose and interpret diagnostic tests based on the clinical S SH Y Bedside clinic, Skills Skill assessment/ Short Microbiology,
diagnosis including complete blood count, and stool examination lab, Small group note/ Viva voce Pathology
discussion
IM16.9 Identify common parasitic causes of diarrhea under the microscope S SH Y DOAP session Skill assessment Microbiology
in a stool specimen
IM16.10 Identify vibrio cholera in a hanging drop specimen S SH Y DOAP session Skill Assessment Microbiology
IM16.11 Enumerate the indications for stool cultures and blood cultures in K KH Y Lecture, Small group Written/ Viva voce Microbiology
patients with acute diarrhea discussion
IM16.12 g
Enumerate and discuss the indications for further investigations K KH Y Lecture,, Small group
g p Written/ Viva voce gy
Pathology g y
General Surgery
including antibodies, colonoscopy, diagnostic imaging and biopsy in discussion
the diagnosis of chronic diarrhea
IM16.13 Describe and enumerate the indications, pharmacology and side K K Y Lecture, Small group Short note/ Viva voce Pharmacology,
effects of pharmacotherapy for parasitic causes of diarrhea discussion Microbiology
IM16.14 Describe and enumerate the indications, pharmacology and side K K Y Lecture, Small group Short note/ Viva voce Pharmacology,
effects of pharmacotherapy for bacterial and viral diarrhea discussion Microbiology
90
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IM16.15 Distinguish based on the clinical presentation Crohn’s disease from S SH Y Lecture, Small group Short note/ Viva voce Pathology General Surgery
Ulcerative Colitis discussion
IM16.16 Describe and enumerate the indications, pharmacology and side K K Y Lecture, Small group Short note/ Viva voce Pharmacology
effects of pharmacotherapy including immunotherapy discussion
IM16.17 Describe and enumerate the indications for surgery in inflammatory K K Y Lecture, Small group Short note/ Viva voce General Surgery
bowel disease discussion
Topic: Headache Number of competencies: (14) Number of procedures that require certification : (NIL)
IM17.1 Define and classify headache and describe the presenting features, K KH Y Lecture, Small group Short note/ Viva voce Human Anatomy
precipitating factors, aggravating and relieving factors of various discussion
kinds of headache
IM17.2 Elicit and document and present an appropriate history including S SH Y Bedside clinic, Small Bedside clinic/ Skill
aura, precipitating aggravating and relieving factors, associated group discussion assessment
symptoms that help identify the cause of headaches
IM17.3 Classify migraine and describe the distinguishing features between K KH Y Bedside clinic, Small Bedside clinic/ Skill
classical and non classical forms of migraine group discussion assessment
IM17.4 Perform and demonstrate a general neurologic examination and a S SH Y Bedside clinic, Small Bedside clinic/ Skill
focused examination for signs of intracranial tension including neck group discussion assessment
signs of meningitis
IM17.5 Generate document and present a differential diagnosis based on S SH Y Bedside clinic,Small Bedside clinic/ skill
the clinical features
features, and prioritise the diagnosis based on the group discussion assessment
presentation
IM17.6 Choose and interpret diagnostic testing based on the clinical S SH Y Lecture, Small group Skill Assessment
diagnosis including imaging discussion, Bedside
clinic
IM17.7 Enumerate the indications and describe the findings in the CSF in K K Y Small group Skill Assessment Microbiology,
patients with meningitis discussion, Bedside Pathology
clinic
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IM17.8 Demonstrate in a mannequin or equivalent the S SH Y DOAP session Skill assessment Microbiology,
correct technique for performing a lumbar puncture Pathology
IM17.9 Interpret the CSF findings when presented with various parameters S SH Y Small group Skill assessment Microbiology,
of CSF fluid analysis discussion, Bedside Pathology
clinic
IM17.10 Enumerate the indications for emergency care admission and K K Y Lecture, Small group Written/ Viva voce
immediate supportive care in patients with headache discussion
IM17.11 Describe the indications, pharmacology, dose, side effects of K KH Y Lecture, Small group Written/ Viva voce Pharmacology
abortive therapy in migraine discussion
IM17.12 Describe the indications, pharmacology, dose, side effects of K KH Y Lecture, Small group Written/ Viva voce Pharmacology
prophylactic therapy in migraine discussion
IM17.13 Describe the pharmacology, dose, adverse reactions and regimens K KH Y Lecture, Small group Written/ Viva voce Pharmacology
of drugs used in the treatment of bacterial, tubercular and viral discussion
meningitis
IM17.14 Counsel patients with migraine and tension headache on lifestyle A/C SH N DOAP session Skill Assessment Pharmacology Psychiatry
changes and need for prophylactic therapy
Topic: Cerebrovascular accident Number of competencies: (17) Number of procedures that require certification : (NIL)
IM18.1 Describe the functional and the vascular K KH Y Lecture, Small group Written/ Viva voce Human Anatomy
anatomy of the brain discussion
IM18.2 Classify cerebrovascular accidents and describe the aetiology, K KH Y Lecture, Small group Written/ Viva voce Pathology
predisposing genetic and risk factors pathogenesis of hemorrhagic discussion
and non hemorrhagic stroke
IM18.3 Elicit and document and present an appropriate history including S SH Y Bedside clinic Skill assessment Pathology
onset, progression, precipitating and aggravating relieving factors,
associated symptoms that help identify the cause of the
cerebrovascular accident
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IM18.4 Identify the nature of the cerebrovascular accident based on the K KH Y Bedside clinic, Small Skill Assessment
temporal evolution and resolution of the illness group discussion
IM18.5 Perform, demonstrate & document physical examination that S SH Y Bedside clinic, DOAP Skill Assessment
includes general and a detailed neurologic examination as session
appropriate, based on the history
IM18.6 Distinguish the lesion based on upper vs lower motor neuron, side, K/S SH Y Bedside clinic, DOAP Skill Assessment Physiology
site and most probable nature of the lesion session
IM18.7 Describe the clinical features and distinguish, based on clinical K/S SH N Bedside clinic, DOAP Skill Assessment Physiology
examination, the various disorders of speech session
IM18.8 Describe and distinguish, based on the clinical presentation, the K KH Y Small group Written/ Viva voce Physiology
types of bladder dysfunction seen in CNS disease discussion, Bedside
clinic
IM18.9 Choose and interpret the appropriate diagnostic and imaging test S KH Y Bedside clinic, DOAP Written/ Viva voce/ Skill Radiodiagnosis
that will delineate the anatomy and underlying cause of the lesion session, Small group assessment
discussion
IM18.10 Choose and interpret the appropriate diagnostic testing in young S SH Y Lecture, Small group Written/ Viva voce
patients with a cerebrovascular accident (CVA) discussion
IM18.11 Describe the initial supportive management of a patient presenting K KH Y Lecture, Small group Written/ Viva voce
with a cerebrovascular accident (CVA) discussion
IM18.12 Enumerate the indications for and describe acute therapy of non K KH Y Lecture, Small group Written/ Viva voce
hemorrhagic stroke including the use of thrombolytic agents discussion
IM18.13 Enumerate the indications for and describe the role of anti platelet K KH Y Lecture, Small group Written/ Viva voce
agents in non hemorrhagic stroke discussion
IM18.14 Describe the initial management of a hemorrhagic stroke K KH Y Lecture, Small group Written/ Viva voce
discussion
IM18.15 Enumerate the indications for surgery in a hemorrhagic stroke K K Y Lecture, Small group Written/ Viva voce General Surgery
discussion
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IM18.16 Enumerate the indications describe and observe the S KH Y Lecture, Small group Written/ Viva voce Physical Medicine &
multidisciplinary rehabilitation of patients with a CVA discussion Rehabilitation
IM18.17 Counsel patient and family about the diagnosis and therapy in an A/C SH Y DOAP session Skill assessment
empathetic manner
Topic: Movement disorders Number of competencies: (09 ) Number of procedures that require certification : (NIL)
IM19.1 Describe the functional anatomy of the locomotor system of the K KH Y Lecture, Small group Written/ Viva voce Human Anatomy,
brain discussion Physiology
IM19.2 Classify movement disorders of the brain based on distribution, K KH Y Lecture, Small group Written/ Viva voce
rhythm, repetition, exacerbating and relieving factors discussion
IM19.3 Elicit and document and present an appropriate history including S SH Y Bedside clinic Skill assessment
onset, progression precipitating and aggravating relieving factors,
associated symptoms that help identify the cause of the movement
disorders
IM19.4 Perform, demonstrate and document a physical examination that S SH Y Bedside clinic Skill assessment
includes a general examination and a detailed neurologic
examination using standard movement rating scales
IM19.5 Generate document and present a differential diagnosis and S SH Y Bedside clinic Skill assessment
prioritise based on the history and physical examination
IM19.6 Make a clinical diagnosis regarding on the anatomical location, S SH Y Bedside clinic Skill assessment
nature and cause of the lesion based on the clinical presentation
and findings
IM19.7 Choose and interpret diagnostic and imaging tests in the diagnosis S SH Y Bedside clinic, Small Skill assessment/ Radiodiagnosis
of movement disorders group session Written/ Viva voce
IM19.8 Discuss and describe the pharmacology, dose, side effects and K KH Y Lecture, Small group Written/ Viva voce Pharmacology
interactions used in the drug therapy of Parkinson’s syndrome discussion
IM19.9 Enumerate the indications for use of surgery and botulinum toxin in K KH Y Lecture, Small group Written/ Viva voce Pharmacology General Surgery
the treatment of movement disorders discussion
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Topic: Envenomation Number of competencies: (09) Number of procedures that require certification : (NIL)
IM20.1 Enumerate the local poisonous snakes K KH Y Lecture, Small group Written/ Viva voce Forensic Medicine,
and describe the distinguishing marks of each discussion Pharmacology
IM20.2 Describe, demonstrate in a volunteer or a mannequin and educate S SH Y DOAP session Skill assessment/ Forensic Medicine
(to other health care workers / patients) the correct initial Written/ Viva voce
management of patient with a snake bite in the field
IM20.3 Describe the initial approach to the stabilisation of the patient who K KH Y Lecture, Small group Written/ Viva voce Forensic Medicine
presents with snake bite discussion
IM20.4 Elicit and document and present an appropriate history, the S SH Y Bedside clinic, DOAP Skill assessment Forensic Medicine
circumstance, time, kind of snake, evolution of symptoms in a session
patient with snake bite
IM20.5 Perform a systematic examination, document and present a physical S SH Y Bedside clinic, DOAP Skill assessment
examination that includes general examination, local examination, session
appropriate cardiac and neurologic examination
IM20.6 Choose and interpret the appropriate diagnostic testing in patients S SH Y Small group Written/ Viva voce
with snake bites discussion
IM20.7 Enumerate the indications and describe the pharmacology, dose, K KH Y Lecture, Small group Written/ Viva voce Pharmacology
adverse reactions, hypersensitivity reactions of anti snake venom discussion
IM20.8 Describe the diagnosis, initial approach stabilisation and therapy of K KH N Lecture, Small group Written/ Viva voce Pharmacology
scorpion envenomation discussion
IM20.9 Describe the diagnosis initial approach stabilisation and therapy of K KH N Lecture, Small group Written/ Viva voce Pharmacology
bee sting allergy discussion
Topic: Poisoning Number of competencies: (08) Number of procedures that require certification : (NIL)
IM21.1 Describe the initial approach to the K KH Y Lecture, Small group Written/ Viva voce Pharmacology
stabilisation of the patient who presents with poisoning discussion
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IM21.2 Enumerate the common plant poisons seen in your area and K KH Y Lecture, Small group Written/ Viva voce Forensic Medicine,
describe their toxicology, clinical features, prognosis and specific discussion Pharmacology
approach to detoxification
IM21.3 Enumerate the common corrosives used in your area and describe K KH Y Lecture, Small group Written/ Viva voce Forensic Medicine,
their toxicology, clinical features, prognosis and approach to therapy discussion Pharmacology
IM21.4 Enumerate the commonly observed drug overdose in your area and K KH Y Lecture, Small group Written/ Viva voce Forensic Medicine,
describe their toxicology, clinical features, prognosis and approach discussion Pharmacology
to therapy
IM21.5 Observe and describe the functions and role of a poison center in S KH Y DOAP session document in log book Forensic Medicine,
suspected poisoning Pharmacology
IM21.6 Describe the medico legal aspects of suspected suicidal or S KH Y Lecture, Small group Written/ Viva voce/ Skill Forensic Medicine,
homicidal poisoning and demonstrate the correct procedure to write discussion, DOAP assessment Pharmacology
a medico legal report on a suspected poisoning session
IM21.7 Counsel family members of a patient with suspected poisoning A/C SH Y DOAP session Skill assessment Forensic Medicine,
about the clinical and medico legal aspects with empathy Pharmacology
IM21.8 Enumerate the indications for psychiatric consultation and describe K KH Y DOAP session Skill assessment Forensic Medicine,
the precautions to be taken in a patient with suspected suicidal Psychiatry
ideation / gesture
Topic: Mineral, Fluid Electrolyte and Acid base Disorder Number of competencies: (13) Number of procedures that require certification : (NIL)
IM22.1 Enumerate the causes of hypercalcemia and K KH N Lecture, Small group Written/ Viva voce Pathology, Physiology
distinguish the features of PTH vs non PTH mediated discussion
hypercalcemia
h l i
IM22.2 Describe the aetiology, clinical manifestations, diagnosis and clinical K KH N Lecture, Small group Written/ Viva voce Pathology General Surgery
approach to primary hyperparathyroidism discussion
IM22.3 Describe the approach to the management of hypercalcemia K KH N Lecture, Small group Written/ Viva voce Pharmacology
discussion
IM22.4 Enumerate the components and describe the genetic basis of the K KH N Lecture, Small group Written/ Viva voce Pathology
multiple endocrine neoplasia syndrome discussion
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IM22.5 Enumerate the causes and describe the clinical features and the K KH Y Lecture, Small group Written/ Viva voce
correct approach to the diagnosis and management of the patient discussion
with hyponatremia
IM22.6 Enumerate the causes and describe the clinical and laboratory K KH Y Lecture, Small group Written/ Viva voce
features and the correct approach to the diagnosis and discussion
management of the patient with hyponatremia
management of the patient with hypokalemia
management of the patient with hyperkalemia
IM22.9 Enumerate the causes and describe the clinical and laboratory K KH N Lecture, Small group Written/ Viva voce Physiology
features of metabolic acidosis discussion
IM22.10 Enumerate the causes of describe the clinical and laboratory K KH N Lecture, Small group Written/ Viva voce Physiology
features of metabolic alkalosis discussion
features of respiratory acidosis discussion
features of respiratory alkalosis discussion
IM22.13 Identify the underlying acid based disorder based on an ABG report S KH N Lecture, Small group Written/ Viva voce Physiology
and clinical situation discussion
Topic: Nutritional and Vitamin Deficiencies Number of competencies: (05) Number of procedures that require certification: (NIL)
IM23.1 Discuss and describe the methods of nutritional assessment in an K KH Y Lecture, Small group Written/ Viva voce Physiology, Pediatrics
adult and calculation of caloric requirements during illnesses discussion Biochemistry
IM23.2 Discuss and describe the causes and consequences of protein K KH Y Lecture, Small group Written/ Viva voce Physiology, Pediatrics
caloric malnutrition in the hospital discussion Biochemistry
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IM23.3 Discuss and describe the aetiology, causes, clinical manifestations, K KH Y Lecture, Small group Written/ Viva voce Physiology, Pediatrics
complications, diagnosis and management of common vitamin discussion Biochemistry
deficiencies
IM23.4 Enumerate the indications for enteral and parenteral nutrition in K KH Y Lecture, Small group Written/ Viva voce Physiology, Pediatrics
critically ill patients discussion Biochemistry
IM23.5 Counsel and communicate to patients in a simulated environment S SH Y DOAP session Skill assessment
with illness on an appropriate balanced diet
Topic: Geriatrics Number of competencies: (22) Number of procedures that require certification : (NIL)
IM24.1 Describe and discuss the epidemiology, pathogenesis, clinical K KH Y Lecture, Small group Written/ Viva voce
evolution, presentation and course of common diseases in the discussion
elderly
IM24.2 Perform multidimensional geriatric assessment that includes S SH Y Bedside clinic, DOAP Skill assessment Psychiatry
medical, psycho-social and functional components session
IM24.3 Describe and discuss the aetiopathogenesis,clinical presentation, K KH Y Lecture, Small group Written/ Viva voce
identification, functional changes, acute care, stabilization, discussion
management and rehabilitation of acute confusional states
management and rehabilitation of vascular events in the elderly
IM24.5
IM24 5 Describe and discuss the aetiopathogenesis
aetiopathogenesis,clinical presentation,
clinical presentation K KH Y Lecture,
Lecture Small group Written/ Viva voce Psychiatry
management and rehabilitation of depression in the elderly
IM24.6 Describe and discuss the aetiopathogenesis causes, clinical K KH Y Lecture, Small group Written/ Viva voce AETCOM
presentation, difference in discussion presentation identification, discussion
functional changes, acute care, stabilization, management and
rehabilitation of dementia in the elderly
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IM24.7 Describe and discuss the aetiopathogenesis,clinical presentation, K KH N Lecture, Small group Written/ Viva voce Psychiatry
management and rehabilitation of personality changes in the
elderly
management and rehabilitation of osteoporosis in the elderly
IM24 9
IM24.9 Describe and discuss the aetiopathogenesis clinical presentation
aetiopathogenesis,clinical presentation, K KH Y Lecture Small group
Lecture, Written/ Viva voce
management and rehabilitation of CVA in the elderly
IM24.10 Describe and discuss the aetiopathogenesis,clinical presentation, K KH Y Lecture, Small group Written/ Viva voce Respiratory Medicine
management and rehabilitation of COPD in the elderly
IM24.11 Describe and discuss the aetiopathogenesis,clinical presentation, K KH Y Lecture, Small group Written/ Viva voce Anesthesiology,
identification, functional changes, acute care, stabilization, discussion General Surgery
management and rehabilitation of the elderly undergoing surgery
IM24.12 Describe and discuss the aetiopathogenesis,clinical presentation, K KH Y Lecture, Small group Written/ Viva voce Orthopedics
management and rehabilitation of degenerative joint disease
IM24.13 Describe and discuss the aetiopathogenesis,clinical presentation, K KH Y Lecture, Small group Written/ Viva voce Orthopedics,
identification, functional changes, acute care, stabilization, discussion Physical Medicine &
management and rehabilitation of falls in the elderly Rehabilitation
IM24.14 Describe and discuss the aetiopathogenesis,clinical presentation, K KH Y Lecture, Small group Written/ Viva voce Orthopedics
management and rehabilitation of common fractures in the elderly
IM24.15 Describe and discuss the aetiopathogenesis,clinical presentation, K KH Y Lecture, Small group Written/ Viva voce Ophthalmology
management and rehabilitation of vision and visual loss in the
elderly
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IM24.16 Describe and discuss the principles of physical and social K KH Y Lecture, Small group Written/ Viva voce Orthopedics,
rehabilitation, functional assessment, role of physiotherapy and discussion Physical Medicine &
occupational therapy in the management of disability in the Rehabilitation
elderly
IM24.17 Describe and discuss the aetiopathogenesis,clinical presentation, K KH Y Lecture, Small group Written/ Viva voce ENT
management and rehabilitation of hearing loss in the elderly
IM24.18 Describe the impact of the demographic changes in ageing on the K KH Y Lecture, Small group Written/ Viva voce Community Medicine
population discussion
IM24.19 Enumerate and describe the social problems in the elderly including K KH Y Lecture, Small group Written/ Viva voce Psychiatry
isolation, abuse, change in family structure and their impact on discussion
health.
IM24.20 Enumerate and describe social interventions in the care of elderly K KH Y Lecture, Small group Written/ Viva voce
including domiciliary discussion services, rehabilitation facilities, old discussion
age homes and state interventions
IM24.21 Enumerate and describe ethical issues in the care of the elderly K KH Y Lecture, Small group Written/ Viva voce AETCOM
discussion
IM24.22 Describe and discuss the aetiopathogenesis, clinical presentation, K KH Y Lecture, Small group Written/ Viva voce Physiology,
complications, assessment and management of nutritional disorders discussion Biochemistry
in the elderly
Topic: Miscellaneous Infections Number of competencies: (13) Number of procedures that require certification : (NIL)
IM25.1 Describe and discuss the response and the influence of host K K Y Lecture, Small group Written Microbiology,
immune status, risk factors and comorbidities on zoonotic diseases discussion Community Medicine
(e.g. Leptospirosis, Rabies) and non-febrile infectious disease (e.g.
Tetanus)
manifestations of these diseases discussion Community Medicine
IM25.3 Describe and discuss the pathophysiology and manifestations of K KH Y Lecture, Small group Written Microbiology
these diseases discussion
100
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P
IM25.4 Elicit document and present a medical history that helps delineate S SH Y Bedside clinic, DOAP Skill assessment Community Medicine
the aetiology of these diseases that includes the evolution and session
pattern of symptoms, risk factors, exposure through occupation and
travel
and severity of presentation that includes: general skin, mucosal session
and lymph node examination, chest and abdominal examination
(including examination of the liver and spleen)
IM25.6 Generate a differential diagnosis and prioritise based on clinical K SH Y Bedside clinic, DOAP Written/ Viva voce
features that help distinguish between infective, inflammatory, session
malignant and rheumatologic causes
IM25.7 Order and interpret diagnostic tests based on the differential K SH Y Bedside clinic, Skill Skill assessment Pathology,
diagnosis including: CBC with differential, blood biochemistry, assessment Microbiology
peripheral smear, urinary analysis with sediment, Chest X ray, blood
and urine cultures, sputum gram stain and cultures, sputum AFB
and cultures, CSF analysis, pleural and body fluid analysis, stool
routine and culture and QBC
IM25.8 Enumerate the indications for use of newer techniques in the K KH N Lecture, Small group Written/ Viva voce
diagnosis of these infections discussion
IM25.9 Assist in the collection of blood and other specimen cultures S SH Y DOAP session Log book Microbiology
documentation
IM25.10 Develop and present an appropriate diagnostic plan based on the K KH Y Bedside clinic, Skill Skill assessment
clinical presentation, most likely diagnosis in a prioritised and cost assessment
effective manner
IM25.11 Develop an appropriate empiric treatment plan based on the C SH Y DOAP session Skill assessment Microbiology,
patient’s clinical and immune status pending definitive diagnosis Pharmacology
IM25.12 Communicate to the patient and family the diagnosis and treatment C SH Y DOAP session Skill assessment AETCOM
of identified infection
101
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P
IM25.13 Counsel the patient and family on prevention of various infections C SH Y DOAP session Skill assessment Community Medicine,
due to environmental issues General Medicine
Topic: The role of the physician in the community Number of competencies: (49) Number of procedures that require certification : (NIL)
IM26.1 Enumerate and describe professional qualities and roles of a K KH Y Small group Written/ Viva voce
physician discussion
IM26.2 Describe and discuss the commitment to lifelong learning as an K KH Y Small group Written/ Viva voce
important part of physician growth discussion
IM26.3 Describe and discuss the role of non maleficence as a guiding K KH Y Small group Written/ Viva voce
principle in patient care discussion
IM26.4 Describe and discuss the role of autonomy and shared responsibility K KH Y Small group Written/ Viva voce
as a guiding principle in patient care discussion
IM26.5 Describe and discuss the role of beneficence of a guiding principle K KH Y Small group Written/ Viva voce
in patient care discussion
IM26.6 Describe and discuss the role of a physician in health care system K KH Y Small group Written/ Viva voce
discussion
IM26.7 Describe and discuss the role of justice as a guiding principle in K KH Y Small group Written/ Viva voce
patient care discussion
IM26.8 Identify discuss medicolegal, socioeconomic and ethical issues as K KH Y Small group Written/ Viva voce
it p g donation
pertains to organ discussion
IM26.9 Identify, discuss and defend medicolegal, sociocultural, economic K KH Y Small group Written/ Viva voce
and ethical issues as it pertains to rights, equity and justice in discussion
access to health care
IM26.10 Identify, discuss and defend medicolegal, socio-cultural and ethical K KH Y Small group Written/ Viva voce
issues as it pertains to confidentiality in patient care discussion
102
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P
issues as it pertains to patient autonomy, patient rights and shared discussion
responsibility in health care
issues as it pertains to decision making in health care including discussion
advanced directives and surrogate decision making
issues as it pertains to decision making in emergency care discussion
including situations where patients do not have the capability or
capacity to give consent
issues as it pertains to research in human subjects discussion
IM26.15 Identify, discuss and defend, medicolegal,socio-cultural and ethical K KH Y Small group Written/ Viva voce
issues as they pertain to consent for surgical procedures discussion
IM26.16 Identify, discuss and defend medicolegal, socio-cultural, K KH Y Small group Written/ Viva voce
professional and ethical issues as it pertains to the physician discussion
patient relationship (including fiduciary duty)
IM26.17 Identify, discuss physician’s role and responsibility to society and K KH Y Small group Written/ Viva voce
the community that she/ he serves discussion
IM26.18 Identify, discuss and defend medicolegal, socio-cultural, K KH Y Small group Written/ Viva voce
professional and ethical issues in physician- industry relationships discussion
IM26.19 Demonstrate ability to work in a team of peers and superiors S SH Y Bedside clinic, DOAP Skill assessment
session
IM26.20 Demonstrate ability to communicate to patients in a patient, S SH Y Bedside clinic, DOAP Skill assessment
respectful, non threatening, non judgemental and empathetic session
manner
IM26.21 Demonstrate respect to patient privacy S SH Y Bedside clinic, DOAP Skill assessment
session
103
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P
IM26.22 Demonstrate ability to maintain confidentiality in patient care S SH Y Bedside clinic, DOAP Skill assessment
session
IM26.23 Demonstrate a commitment to continued learning S SH Y Small group Skill assessment/ Viva
discussion voce
IM26.24 Demonstrate respect in relationship with patients, fellow team S SH Y Bedside clinic, DOAP Skill assessment/ Viva
members, superiors and other health care workers session voce
IM26 25
IM26.25 Demonstrate responsibility and work ethics while working in the S SH Y clinic DOAP
Bedside clinic, Skill assessment/ Viva
health care team session voce
IM26.26 Demonstrate ability to maintain required documentation in health S SH Y Small group Skill assessment/ Viva
care (including correct use of medical records) discussion voce
IM26.27 Demonstrate personal grooming that is adequate and appropriate S SH Y Small group Skill assessment
for health care responsibilities discussion
IM26.28 Demonstrate adequate knowledge and use of information S SH Y Small group Skill assessment/ Viva
technology that permits appropriate patient care and continued discussion voce
learning
IM26.29 Communicate diagnostic and therapeutic opitons to patient and S SH Y Bedside clinic, DOAP Skill assessment/ Viva
family in a simulated environment session voce
IM26.30 Communicate care opitons to patient and family with a terminal S SH Y Bedside clinic, DOAP Skill assessment/ Viva
illness in a simulated environment session voce
IM26.31 Demonstrate awareness of limitations and seeks help and S SH Y Bedside clinic, DOAP Skill assessment/ Viva
consultations appropriately session voce
IM26.32 Demonstrate appropriate respect to colleagues in the profession S SH N Small group Skill assessment/ Viva
discussion voce
IM26.33 Demonstrate an understanding of the implications and the S SH N Small group Skill assessment/ Viva
appropriate procedures and response to be followed in the event of discussion voce
medical errors
IM26.34 Identify conflicts of interest in patient care and professional S SH Y Small group Skill assessment/ Viva
relationships and describe the correct response to these conflicts discussion voce
104
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P
IM26.35 Demonstrate empathy in patient encounters S SH Y Bedside clinic, DOAP Skill assessment/ Viva
session voce
IM26.36 Demonstrate ability to balance personal and professional priorities S SH N Small group Skill assessment/ Viva
discussion voce
IM26.37 Demonstrate ability to manage time appropriately S SH Y Small group Skill assessment/ Viva
discussion voce
IM26.38 Demonstrate ability to form and function in appropriate professional S SH N Small group Skill assessment/ Viva
networks discussion voce
IM26.39 Demonstrate ability to pursue and seek career advancement S SH N Small group Skill assessment/ Viva
discussion voce
IM26.40 Demonstrate ability to follow risk management and medical error S SH N Small group Skill assessment/ Viva
reduction practices where appropriate discussion voce
IM26.41 Demonstrate ability to work in a mentoring relationship with junior S SH N Small group Skill assessment/ Viva
colleagues discussion voce
IM26.42 Demonstrate commitment to learning and scholarship S SH N Small group Skill assessment/ Viva
discussion voce
IM26.43 Identify, discuss and defend medicolegal, sociocultural, economic K KH N Small group Written/ Viva voce Obstetrics &
and ethical issues as they pertain to in vitro fertilisation donor discussion Gynaecology
insemination and surrogate motherhood
IM26.44 Identify, discuss and defend medicolegal, socio-cultural professional K KH N Small group Written/ Viva voce
and ethical issues pertaining to medical negligence discussion
IM26.45 Identify, discuss and defend medicolegal, socio-cultural professional K KH N Small group Written/ Viva voce
and ethical issues pertaining to malpractice discussion
IM26.46 Identify, discuss and defend medicolegal, socio-cultural K KH N Small group Written/ Viva voce
professional and ethical issues in dealing with impaired physicians discussion
105
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P
issues as they pertain to refusal of care including do not resuscitate discussion
and withdrawal of life support
IM26.48 Demonstrate altruism S SH Y Small group Written/ Viva voce

discussion
IM26.49 Administer informed consent and approriately adress patient queries S SH Y Bedside clinic, DOAP Written/ Viva voce
to a patient being enrolled in a research protocol in a simulated session
environment

Integration
Human Anatomy
AN5.6 Describe the concept of anastomoses and collateral circulation with K KH Y Lecture Written/ Viva voce General Medicine Physiology
significance of end-arteries
AN7.5 Describe principles of sensory and motor innervation of muscles K KH N Lecture Written General Medicine Physiology
AN7.6 Describe concept of loss of innervation of a muscle with its applied K KH Y Lecture Written/ Viva voce General Medicine
anatomy
AN20.8 Identify & demonstrate palpation of femoral, popliteal, post tibial, K/S SH Y Practical, Lecture, Viva voce/ Skill General Medicine
anti tibial & dorsalis pedis blood vessels in a simulated environment Small group assessment
discussion,
discussion DOAP
session
AN20.9 Identify & demonstrate Palpation of vessels (femoral, K/S SH Y Practical, Lecture, Viva voce/ Skill General Medicine,
popliteal,dorsalis pedis,post tibial), Mid inguinal point, Surface Small group assessment General Surgery
projection of: femoral nerve, Saphenous opening, Sciatic, tibial, discussion, DOAP
common peroneal & deep peroneal nerve, great and small session
saphenous veins
AN22.4 Describe anatomical basis of ischaemic heart disease K KH Y Lecture Written/ Viva voce General Medicine Physiology
106
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P
AN22.7 Mention the parts, position and arterial supply of the conducting K KH Y Lecture Written General Medicine Physiology
system of heart
AN24.1 Mention the blood supply, lymphatic drainage and nerve supply of K KH Y Practical, Lecture Written/ Viva voce General Medicine Physiology
pleura, extent of pleura and describe the pleural recesses and their
applied anatomy
AN24.2 Identify side, external features and relations of structures which K/S SH Y Practical, Lecture, Written/ Viva voce/ Skill General Medicine Physiology
form root of lung & bronchial tree and their clinical correlate Small group assessment
discussion, DOAP
session
AN24.3 Describe a bronchopulmonary segment K KH Y Lecture Written/ Viva voce General Medicine Physiology
AN25.3 Describe fetal circulation and changes occurring at birth K KH Y Lecture Written/ Viva voce General Medicine Physiology
AN25.4 Describe embryological basis of: K KH Y Lecture Written/ Viva voce General Medicine, Physiology
1) atrial septal defect, 2)ventricular septal defect, 3) Fallot’s Pediatrics
tetralogy & 4) tracheo-oesophageal fistula
AN25.5 Describe developmental basis of congenital anomalies, K KH Y Lecture Written/ Viva voce General Medicine, Physiology
transposition of great vessels, dextrocardia, patent ductus Pediatrics
arteriosus and coarctation of aorta
AN25.7 Identify structures seen on a plain x-ray chest (PA view) K/S SH Y Practical, DOAP Written/ Viva voce Radiodiagnosis,
session General Medicine
AN25.8 Identify and describe in brief a barium swallow K/S SH N Practical, DOAP Written/ Viva voce Radiodiagnosis,
session General Medicine
AN25.9 Demonstrate surface marking of lines of pleural reflection, Lung K/S SH Y Practical Viva voce/ Skill General Medicine, Physiology
borders and fissures, Trachea, Heart borders, Apex beat & Surface assessment Pediatrics
projection of valves of heart
AN28.7 Explain the anatomical basis of facial nerve palsy K KH Y Lecture Written General Medicine
AN50.3 Describe lumbar puncture (site, direction of the needle, structures K KH Y Lecture Written/ Viva voce General Medicine
pierced during the lumbar puncture)
107
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P
AN56.1 Describe & identify various layers of meninges with its extent & K/S SH Y Practical, Lecture, Written/ Viva voce/ Skill General Medicine
modifications Small group assessment
discussion, DOAP
session
AN56.2 Describe circulation of CSF with its applied anatomy K KH Y Lecture Written/ Viva voce General Medicine Physiology
AN57.4 Enumerate ascending & descending tracts at mid thoracic level of K KH Y Lecture Written/ Viva voce General Medicine Physiology
spinal cord
AN57.5 Describe anatomical basis of syringomyelia K KH N Lecture Written General Medicine Physiology
AN58.4 Describe anatomical basis & effects of medial & lateral medullary K KH N Lecture Written General Medicine Physiology
syndrome
AN60.3 Describe anatomical basis of cerebellar dysfunction K KH N Lecture Written General Medicine Physiology
AN61.3 Describe anatomical basis & effects of Benedict's and Weber’s K KH N Lecture Written General Medicine Physiology
syndrome
AN62.2 Describe & demonstrate surfaces, sulci, gyri, poles, & functional K/S SH Y Practical, Lecture, Written/ Viva voce/ Skill General Medicine Physiology
areas of cerebral hemisphere Small group assessment
discussion, DOAP
session
AN62.3 Describe the white matter of cerebrum K KH Y Lecture Written/ Viva voce General Medicine Physiology
AN62.5 Describe boundaries, parts, gross relations, major nuclei and K KH Y Lecture Written/ Viva voce General Medicine Physiology
connections of dorsal thalamus, hypothalamus, epithalamus,
metathalamus and subthalamus
AN62.6 Describe & identify formation, branches & major areas of K/S SH Y Practical, Lecture, Written/ Viva voce/ Skill General Medicine Physiology
distribution of circle of Willis Small group assessment
discussion, DOAP
session
AN74.1 Describe the various modes of inheritance with examples K KH Y Lecture Written General Medicine,
Pediatrics
108
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P
AN74.2 Draw pedigree charts for the various types of inheritance & give K KH Y Lecture Written General Medicine,
examples of diseases of each mode of inheritance Pediatrics
AN74.3 Describe multifactorial inheritance with examples K KH Y Lecture Written General Medicine
AN74.4 Describe the genetic basis & clinical features of Achondroplasia, K KH N Lecture Written General Medicine,
Cystic Fibrosis, Vitamin D resistant rickets, Hemophilia, Duchene’s Pediatrics
muscular dystrophy & Sickle cell anaemia
Physiology
PY3.12 Explain the gradation of muscular activity K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
PY3.13 Describe muscular dystrophy: myopathies K KH Y Lecture, Small group Written/ Viva voce General Medicine Human Anatomy
discussion
PY4.9 Discuss the physiology aspects of: peptic ulcer, gastro- S SH Y Lecture, Small group Practical/ Viva voce General Medicine Biochemistry
oesophageal reflux disease, vomiting, diarrhoea, constipation, discussion
Adynamic ileus, Hirschsprung's disease
PY5.5 Describe the physiology of electrocardiogram (E.C.G), its K KH Y Lecture, Small group Written/ Viva voce General Medicine
applications and the cardiac axis discussion
PY5.6 Describe abnormal ECG, arrythmias, heart block and myocardial K KH Y Lecture, Small group Written/ Viva voce General Medicine Human Anatomy
Infarction discussion
PY5.10 Describe & discuss regional circulation including microcirculation, K KH Y Lecture, Small group Written/ Viva voce General Medicine
lymphatic circulation, coronary, cerebral, capillary, skin, foetal, discussion
pulmonary and splanchnic circulation
PY5.13 Record and interpret normal ECG in a volunteer or simulated S SH Y DOAP sessions Practical/OSPE/Viva General Medicine
environment voce
109
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P
PY5.16 Record Arterial pulse tracing using finger plethysmography in a S SH N DOAP sessions, Practical/OSPE/Viva General Medicine
volunteer or simulated environment Computer assisted voce
learning methods
PY7.7 Describe artificial kidney, dialysis and renal transplantation K KH Y Lecture, Small group Written/Viva voce General Medicine
discussion
PY11.14 Demonstrate Basic Life Support in a simulated environment S SH Y DOAP sessions OSCE General Medicine
Anaesthesiology
Biochemistry
BI2.4 Describe and discuss enzyme inhibitors as poisons and drugs, K KH Y Lecture, Small group Written/ Viva voce Pathology, General
therapeutic enzymes and the clinical utility of various serum discussion Medicine
enzymes as markers of pathological conditions
BI2.5 Describe and discuss the clinical utility of various serum enzymes K KH Y Lecture, Small group Written/ Viva voce Pathology, General
as markers of pathological conditions discussion Medicine
BI2.6 Discuss use of enzymes in laboratory investigations (Enzyme- K KH Y Lecture, Small group Written/ Viva voce Pathology, General
based assays) discussion Medicine
BI2.7 Interpret laboratory results of enzyme activities & describe the K KH Y Lecture, Small group Written/ Viva voce Pathology, General
clinical utility of various enzymes as markers of pathological discussion, DOAP Medicine
conditions sessions
BI3.4 Define and differentiate the pathways of carbohydrate metabolism K KH Y Lecture,Small group Written/ Viva voce General Medicine
(glycolysis, gluconeogenesis, glycogen metabolism, HMP shunt) discussion
BI3.5 Describe and discuss the regulation, functions and integration of K KH Y Lecture, Small group Written/ Viva voce General Medicine
carbohydrate along with associated diseases/disorders discussion
BI3.8 Discuss and interpret laboratory results of analytes associated with K KH Y Lecture, Small group Written/ Viva voce Pathology, General
metabolism of carbohydrates discussion Medicine
BI3.9 Discuss the mechanism and significance of blood glucose K KH Y Lecture, Small group Written/ Viva voce General Medicine
regulation in health and disease discussion
110
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P
BI3.10 Interpret the results of blood glucose levels and other laboratory K KH Y Lecture, Small group Written/ Viva voce General Medicine
investigations related to disorders of carbohydrate metabolism discussion
BI4.1 Describe and discuss main classes of lipids (Essential/non- K KH Y Lecture, Small group Written/ Viva voce General Medicine
essential fatty acids, cholesterol and hormonal steroids, discussion
triglycerides, major phospholipids and sphingolipids) relevant to
human system and their major functions
BI4.2 Describe the processes involved in digestion and absorption of K KH Y Lecture, Small group Written/ Viva voce General Medicine
dietary lipids and also the key features of their metabolism discussion
BI4.3 Explain the regulation of lipoprotein metabolism & associated K KH Y Lecture, Small group Written/ Viva voce General Medicine
disorders discussion
BI4.4 Describe the structure and functions of lipoproteins, their functions, K KH Y Lecture, Small group Written/ Viva voce General Medicine
interrelations & relations with atherosclerosis discussion
BI4.5 Interpret laboratory results of analytes associated with metabolism K KH Y Lecture, Small group Written/ Viva voce General Medicine
of lipids discussion
BI4.6 Describe the therapeutic uses of prostaglandins and inhibitors of K KH Y Lecture, Small group Written/ Viva voce General Medicine
eicosanoid synthesis discussion
of lipids discussion
BI5.2 Describe and discuss functions of proteins and structure-function K KH Y Lecture, Small group Viva voce/ Skill Pathology, General Physiology
relationships in relevant areas e.g., hemoglobin and selected discussion assessment Medicine
hemoglobinopathies
of proteins discussion
BI6.1 Discuss the metabolic processes that take place in specific organs K KH Y Lecture, Small group Written/ Viva voce General Medicine
in the body in the fed and fasting states discussion
BI6.4 Discuss the laboratory results of analytes associated with gout & K KH Y Lecture, Small group Written/ Viva voce General Medicine
Lesch Nyhan syndrome discussion
111
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P
BI6.5 Describe the biochemical role of vitamins in the body and explain K KH Y Lecture, Small group Written/ Viva voce General Medicine
the manifestations of their deficiency discussion
BI6.7 Describe the processes involved in maintenance of normal pH, K KH Y Lecture, Small group Written/ Viva voce General Medicine Physiology
water & electrolyte balance of body fluids and the derangements discussion
associated with these
BI6.8 Discuss and interpret results of Arterial Blood Gas (ABG) analysis in K KH Y Lecture, Small group Written/ Viva voce General Medicine
various disorders discussion
BI6.9 Describe the functions of various minerals in the body, their K KH Y Lecture, Small group Written/ Viva voce General Medicine Physiology
metabolism and homeostasis discussion
BI6.10 Enumerate and describe the disorders associated with mineral K KH Y Lecture, Small group Written/ Viva voce General Medicine
metabolism discussion
BI6.11 Describe the functions of haem in the body and describe the K KH Y Lecture, Small group Written/ Viva voce Pathology, General Physiology
processes involved in its metabolism and describe porphyrin discussion Medicine
metabolism
BI6.12 Describe the major types of haemoglobin and its derivatives found K KH Y Lecture, Small group Written/ Viva voce Pathology, General Physiology
in the body and their physiological/ pathological relevance discussion Medicine
BI6.13 Describe the functions of the kidney, liver, thyroid and adrenal K KH Y Lecture, Small group Written/ Viva voce Pathology, General Physiology,
glands discussion Medicine Human Anatomy
BI6.14 Describe the tests that are commonly done in clinical practice to K KH Y Lecture, Small group Written/ Viva voce Pathology, General Physiology,
assess the functions of these organs (kidney, liver, thyroid and discussion Medicine Human Anatomy
adrenal glands)
BI6.15 Describe the abnormalities of kidney, liver, thyroid and adrenal K KH Y Lecture, Small group Written/ Viva voce Pathology, General Physiology,
glands. discussion Medicine Human Anatomy
BI7.4 Describe applications of recombinant DNA technology, PCR in the K KH Y Lecture, Small group Written/ Viva voce Pediatrics, General
diagnosis and treatment of diseases with genetic basis discussion Medicine
112
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P
BI7.7 Describe the role of oxidative stress in the pathogenesis of K KH Y Lecture, Small group Written/ Viva voce General Medicine,
conditions such as cancer, complications of diabetes mellitus and discussion Pathology
atherosclerosis
BI8.1 Discuss the importance of various dietary components and explain K KH Y Lecture, Small group Written/ Viva voce General Medicine,
importance of dietary fibre discussion Pediatrics, Pathology
BI8 2
BI8.2 Describe the types and causes of protein energy malnutrition and its K KH Y Lecture Small group
Lecture, Written/ Viva voce Medicine
General Medicine,
effects discussion Pediatrics, Pathology
BI8.3 Provide dietary advice for optimal health in childhood and adult, in K KH Y Lecture, Small group Written/ Viva voce General Medicine
disease conditions like diabetes mellitus, coronary artery disease discussion
and in pregnancy.
BI8.4 Describe the causes (including dietary habits), effects and health K KH Y Lecture, Small group Written/ Viva voce General Medicine,
risks associated with being overweight/ obesity discussion Pathology
BI8.5 Summarize the nutritional importance of commonly used items of K KH Y Lecture, Small group Written/ Viva voce Community Medicine,
food including fruits and vegetables (macro-molecules & its discussion General Medicine,
BI9.2 Discuss the involvement of ECM components in health and disease K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
BI10.4 Describe & discuss innate and adaptive immune responses, K KH Y Lecture, Small group Written/ Viva voce General Medicine, Physiology
self/non-self recognition and the central role of T-helper cells in discussion Pathology
immune
i responses
BI11.4 Perform urine analysis to estimate and determine normal and S P Y Lecture, Small group Skill assessment 1 General Medicine Physiology
abnormal constituents discussion
BI11.5 Describe screening of urine for inborn errors & describe the use of K KH Y Lecture, Small group Written/ Viva voce General Medicine
paper chromatography discussion
113
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P
BI11.17 Explain the basis and rationale of biochemical tests done in the K KH Y Lecture, Small group Written/ Viva voce General Medicine
following conditions: discussion Pathology
- diabetes mellitus,
- dyslipidemia,
- myocardial infarction,
- renal failure, gout,
- proteinuria,
- nephrotic syndrome,
- edema,
- jaundice,
- liver diseases
diseases, pancreatitis
pancreatitis, disorders of acid-
acid base balance,
balance -
thyroid disorders.
BI11.22 Calculate albumin: globulin (AG) ratio and creatinine clearance K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
BI11.23 Calculate energy content of different food Items, identify food items K KH N Lecture, Small group Written/ Viva voce General Medicine
with high and low glycemic index and explain the importance of discussion
these in the diet
BI11.24 Enumerate advantages and/or disadvantages of use of unsaturated, K KH Y Lecture, Small group Written/Viva voce General Medicine
saturated and trans fats in food. discussion
BI1.26 Calculate albumin: globulin (AG) ratio and creatinine clearance S SH Y Lecture, Small group Skill assessment General Medicine
discussion
BI1.27 Calculate energy content of different food Items, identify food items S SH N Lecture, Small group Skill assessment General Medicine
with high and low glycemic index and explain the importance of discussion
these in the diet
BI1.28 Enumerate advantages and/or disadvantages of use of unsaturated, K KH Y Lecture, Small group Written/Viva voce General Medicine
saturated and trans fats in food discussion
Pathology
PA6.1 Define and describe edema its types pathogenesis and clinical K KH Y Lecture, Small group Written/ Viva voce General Medicine
correlations discussion
PA9.4 Define autoimmunity. Enumerate autoimmune disorders K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
114
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P
PA9.5 Define and describe the pathogenesis of systemic lupus K KH Y Lecture, Small group Written/ Viva voce General Medicine
erythematosus discussion
PA9.6 Define and describe the pathogenesis and pathology of HIV and K KH Y Lecture, Small group Written/ Viva voce General Medicine Microbiology
AIDS discussion
PA9.7 Define and describe the pathogenesis of other common K KH N Lecture, Small group Written/ Viva voce General Medicine
autoimmune diseases discussion
PA10.1 Define and describe the pathogenesis and pathology of malaria K KH Y Lecture, Small group Written/ Viva voce General Medicine Microbiology
discussion
PA10.2 Define and describe the pathogenesis and pathology of K KH Y Lecture, Small group Written/ Viva voce General Medicine Microbiology
cysticercosis discussion
PA10.3 Define and describe the pathogenesis and pathology of leprosy K KH Y Lecture, Small group Written/ Viva voce General Medicine Microbiology
discussion
PA10.4 Define and describe the pathogenesis and pathology of common K KH N Lecture, Small group Written/ Viva voce General Medicine Microbiology
bacterial, viral, protozoal and helminthic diseases discussion
PA12.3 Describe the pathogenesis of obesity and its consequences K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
PA13.1 Describe hematopoiesis and extramedullary hematopoiesis K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
PA13.2 Describe the role of anticoagulants in hematology K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
PA13.3 Define and classify anemia K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
PA13.4 Enumerate and describe the investigation of anemia K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
PA13.5 Perform, Identify and describe the peripheral blood picture in S SH Y DOAP session Skill assessment General Medicine
anemia
PA14.2 Describe the etiology, investigations and differential diagnosis of K KH Y Lecture, Small group Written/ Viva voce General Medicine
microcytic hypochromic anemia discussion
115
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P
PA14.3 Identify and describe the peripheral smear in microcytic anemia S SH Y DOAP session Skill assessment General Medicine
PA15.1 Describe the metabolism of Vitamin B12 and the etiology and K KH Y Lecture, Small group Written/ Viva voce Biochemistry,
pathogenesis of B12 deficiency discussion General Medicine
PA15.2 Describe the laboratory investigations of macrocytic anemia K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
PA15.4 Enumerate the differences and describe the etiology and K KH N Lecture, Small group Written/ Viva voce General Medicine
di ti i hi ffeatures
distinguishing t off megaloblastic
l bl ti and
d non-megaloblastic
l bl ti di i
discussion
macrocytic anemia
PA16.1 Define and classify hemolytic anemia K KH Y Lecture, Small group Written/ Viva voce Biochemistry,
PA16.2 Describe the pathogenesis and clinical features and hematologic K KH Y Lecture, Small group Written/ Viva voce Biochemistry,
indices of hemolytic anemia discussion General Medicine
PA16.3 Describe the pathogenesis, features, hematologic indices and K KH Y Lecture, Small group Written/ Viva voce Biochemistry, General
peripheral blood picture of sickle cell anemia and thalassemia discussion Medicine
PA16.4 Describe the etiology pathogenesis, hematologic indices and K KH Y Lecture, Small group Written/ Viva voce Biochemistry,
peripheral blood picture of Acquired hemolytic anemia discussion General Medicine
PA16.5 Describe indices and peripheral blood smear K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
PA 17.1 Enumerate the etiology, pathogenesis and findings in aplastic K K N Lecture, Small group Written/ Viva voce General Medicine
anemia discussion
PA17.2 Enumerate the indications and describe the findings in bone marrow K K N Lecture, Small group Written/ Viva voce General Medicine
aspiration and biopsy discussion
PA19.6 Enumerate and differentiate the causes of splenomegaly K KH Y Lecture, Small group Written/ Viva voce General Surgery,
PA21.3 Differentiate platelet from clotting disorders based on the clinical S SH Y Lecture, Small group Written/ Viva voce General Medicine
and hematologic features discussion
116
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P
PA21.4 Define and describe disseminated intravascular coagulation, its K KH Y Lecture, Small group Written/ Viva voce General Medicine
laboratory findings and diagnosis of disseminated intravascular discussion
coagulation
PA21.5 Define and describe disseminated intravascular coagulation its K KH Y Lecture, Small group Written/ Viva voce General Medicine
laboratory findings and diagnosis of Vitamin K deficiency discussion
PA22.4 Enumerate blood components and describe their clinical uses K KH Y Lecture, Small group Written/ Viva voce General Surgery,
PA22.6 Describe transfusion reactions and enumerate the steps in the K KH Y Lecture, Small group Written/ Viva voce General Medicine
investigation of a transfusion reaction discussion
PA24.2 Describe the etiology, pathogenesis, pathology, microbiology, K KH Y Lecture, Small group Written/ Viva voce General Medicine
clinical and microscopic features of peptic ulcer disease discussion
PA24.3 Describe and identify the microscopic features of peptic ulcer S SH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
PA25.1 Describe bilirubin metabolism, enumerate the etiology and K KH Y Lecture, Small group Written/ Viva voce Biochemistry,
pathogenesis of jaundice, distinguish between direct and indirect discussion General Medicine
hyperbilirubinemia
PA25.2 Describe the pathophysiology and pathologic changes seen in K KH Y Lecture, Small group Written/ Viva voce General Medicine,
hepatic failure and their clinical manifestations, complications and discussion General Surgery
consequences
PA25.3 Describe the etiology and pathogenesis of viral and toxic hepatitis: K KH Y Lecture, Small group Written/ Viva voce General Medicine
distinguish
di ti i h the
th causes off hepatitis
h titi based
b d on the
th clinical
li i l andd discussion
di i
laboratory features. Describe the pathology, complications and
consequences of hepatitis
PA25.4 Describe the pathophysiology, pathology and progression of K KH Y Lecture, Small group Written/ Viva voce General Medicine,
alcoholic liver disease including cirrhosis discussion General Surgery
PA25.5 Describe the etiology, pathogenesis and complications of portal K KH Y Lecture, Small group Written/ Viva voce General Medicine,
hypertension discussion General Surgery
117
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P
PA25.6 Interpret a liver function and viral hepatitis serology panel. S P Y DOAP session Skill assessment 1 General Medicine
Distinguish obstructive from non obstructive jaundice based on
clinical features and liver function tests
PA26.1 Define and describe the etiology, types, pathogenesis, stages, K KH Y Lecture, Small group Written/ Viva voce General Medicine Microbiology
morphology and complications of pneumonia discussion
PA26.2 Describe the etiology, gross and microscopic appearance and K KH Y Lecture, Small group Written/ Viva voce General Medicine Microbiology
complications of lung abscess discussion
PA26.3 Define and describe the etiology, types, pathogenesis, stages, K KH Y Lecture, Small group Written/ Viva voce Physiology, General Microbiology
morphology and complications and evaluation of Obstructive airway discussion Medicine
disease (OAD) and bronchiectasis
PA26.4 Define and describe the etiology, types, pathogenesis, stages, K KH Y Lecture, Small group Written/ Viva voce General Medicine Microbiology
morphology microscopic appearance and complications of discussion
tuberculosis
PA26.5 Define and describe the etiology, types, exposure, environmental K KH Y Lecture, Small group Written/ Viva voce General Medicine,
influence, pathogenesis, stages, morphology, microscopic discussion Community Medicine
appearance and complications of Occupational lung disease
PA26.6 Define and describe the etiology, types, exposure, genetics K KH Y Lecture, Small group Written/ Viva voce General Medicine
environmental influence, pathogenesis, stages, morphology, discussion
microscopic appearance,metastases and complications of tumors of
the lung and pleura
PA26.7 Define and describe the etiology, types, exposure, genetics K KH N Lecture, Small group Written/ Viva voce General Medicine,
environmental influence,
influence pathogenesis, morphology, microscopic
pathogenesis morphology discussion Community Medicine
appearance and complications of mesothelioma
PA27.1 Distinguish arteriosclerosis from atherosclerosis. Describe the K KH Y Lecture, Small group Written/ Viva voce General Medicine
pathogenesis and pathology of various causes and types of discussion
arteriosclerosis
PA27.2 Describe the etiology, dynamics, pathology types and complications K KH Y Lecture, Small group Written/ Viva voce General Medicine
of aneurysms including aortic aneurysms discussion
118
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P
PA27.3 Describe the etiology, types, stages pathophysiology pathology and K KH Y Lecture, Small group Written/ Viva voce General Medicine,
complications of heat failure discussion Physiology
PA27.4 Describe the etiology, pathophysiology, pathology, gross and K KH Y Lecture, Small group Written/ Viva voce General Medicine Microbiology
microscopic, features, criteria and complications of rheumatic fever discussion
PA27.5 Describe the epidemiology, risk factors, etiology, pathophysiology, K KH Y Lecture, Small group Written/ Viva voce General Medicine
pathology, presentations, gross and microscopic, features, discussion
diagnostic tests and complications of ischemic heart disease
PA27.6 Describe the etiology, pathophysiology, pathology, gross and K KH Y Lecture, Small group Written/ Viva voce General Medicine Microbiology
microscopic, features diagnosis and complications of infective discussion
endocarditis
PA27.7 Describe the etiology, pathophysiology, pathology, gross and K KH Y Lecture, Small group Written/ Viva voce General Medicine
microscopic, features diagnosis and complications of pericarditis discussion
and pericardial effusion
PA27.8 Interpret abnormalities in cardiac function testing in acute coronary S SH Y DOAP session Skill Assessment Physiology, General
syndromes Medicine
PA27.9 Classify and describe the etiology, types, pathophysiology, K KH N Lecture, Small group Written/ Viva voce General Medicine,
pathology, gross and microscopic features, diagnosis and discussion Physiology
complications of cardiomyopathies
PA27.10 Describe the etiology, pathophysiology, pathology features and K KH N Lecture, Small group Written/ Viva voce General Medicine Microbiology
complications of syphilis on the cardiovascular system discussion
PA28.3 Define and describe the etiology, precipitating factors, K KH Y Lecture, Small group Written/ Viva voce General Medicine
pathogenesis, pathology, laboratory urinary findings, progression discussion
and complications of acute renal failure
PA28.4 Define and describe the etiology, precipitating factors, K KH Y Lecture, Small group Written/ Viva voce General Medicine
pathogenesis, pathology, laboratory urinary findings progression discussion
and complications of chronic renal failure
119
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P
PA28.5 Define and classify glomerular diseases. Enumerate and describe K KH Y Lecture, Small group Written/ Viva voce Physiology, General
the etiology, pathogenesis, mechanisms of glomerular injury, discussion Medicine
pathology, distinguishing features and clinical manifestations of
glomerulonephritis
PA28.6 Define and describe the etiology, pathogenesis, pathology, K KH Y Lecture, Small group Written/ Viva voce General Medicine
laboratory, urinary findings, progression and complications of IgA discussion
nephropathy
PA28.7 Enumerate and describe the findings in glomerular manifestations of K KH Y Lecture, Small group Written/ Viva voce General Medicine
systemic disease discussion
PA28.8 Enumerate and classify diseases affecting the tubular interstitium K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
PA28.9 Define and describe the etiology, pathogenesis, pathology, K KH Y Lecture, Small group Written/ Viva voce General Medicine
laboratory, urinary findings, progression and complications of acute discussion
tubular necrosis
PA28.11 Define classify and describe the etiology, pathogenesis pathology, K KH Y Lecture, Small group Written/ Viva voce General Medicine
laboratory, urinary findings, distinguishing features, progression and discussion
complications of vascular disease of the kidney
PA28.12 Define classify and describe the genetics, inheritance etiology, K KH Y Lecture, Small group Written/ Viva voce General Medicine,
pathogenesis, pathology, laboratory, urinary findings, distinguishing discussion Pediatrics
features, progression and complications of cystic disease of the
kidney
PA28.15 Describe the etiology, genetics, pathogenesis, pathology, presenting K KH N Lecture, Small group Written/ Viva voce General Medicine
features and progression of thrombotic angiopathies discussion
PA31.4 Enumerate and describe the etiology, hormonal dependency and K KH N Lecture, Small group Written/ Viva voce Pediatrics, General
pathogenesis of gynecomastia discussion Medicine
120
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PA32.1 Enumerate, classify and describe the etiology, pathogenesis, K KH Y Lecture, Small group Written/ Viva voce Human Anatomy,
pathology and iodine dependency of thyroid swellings discussion Physiology, General
Medicine, General
Surgery
PA32.2 Describe the etiology, cause, iodine dependency, pathogenesis, K KH Y Lecture, Small group Written/ Viva voce Physiology, General
manifestations, laboratory and imaging features and course of discussion Medicine
thyrotoxicosis
PA32.3 Describe the etiology, pathogenesis, manifestations, laboratory and K KH Y Lecture, Small group Written/ Viva voce Physiology, General
imaging features and course of thyrotoxicosis/ hypothyroidism Medicine
PA32.4 Classify and describe the epidemiology, etiology, pathogenesis, K KH Y Lecture, Small group Written/ Viva voce Physiology, General
pathology, clinical laboratory features, complications and discussion Medicine
progression of diabetes mellitus
PA32.5 Describe the etiology, genetics, pathogenesis, manifestations, K KH N Lecture, Small group Written/ Viva voce Physiology, General
laboratory and morphologic features of hyperparathyroidism discussion Medicine
PA32.7 Describe the etiology, pathogenesis, manifestations, laboratory, K KH N Lecture, Small group Written/ Viva voce Physiology, General
morphologic features, complications of adrenal insufficiency discussion Medicine
PA32.8 Describe the etiology, pathogenesis, manifestations, laboratory, K KH N Lecture, Small group Written/ Viva voce Physiology, General
morphologic features, complications of Cushing's syndrome discussion Medicine
PA32.9 Describe the etiology, pathogenesis, manifestations, laboratory and K KH N Lecture, Small group Written/ Viva voce Human Anatomy,
morphologic features of adrenal neoplasms discussion Physiology, General
Medicine, General
g y
Surgery
PA33.5 Classify and describe the etiology, immunology, pathogenesis, K KH N Lecture, Small group Written/ Viva voce General Medicine
manifestations, radiologic and laboratory features, diagnostic criteria discussion
and complications of rheumatoid arthritis
PA35.1 Describe the etiology, types and pathogenesis, differentiating K KH Y Lecture, Small group Written/ Viva voce General Medicine Microbiology
factors, CSF findings in meningitis discussion
121
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P
PA35.3 Identify the etiology of meningitis based on given CSF parameters S P Y DOAP session Skill Assessment 1 General Medicine Microbiology
Microbiology
MI2.1 Describe the etiologic agents in rheumatic fever and their diagnosis K KH Y Lecture, Small group Written/ Viva voce General Medicine Pathology
discussion
MI2.2 Describe the classification, etio-pathogenesis, clinical features and K KH Y Lecture, Small group Written/ Viva voce General Medicine Pathology
discuss the diagnostic
g modalities of Infective endocarditis discussion
MI2.3 Identify the microbial agents causing Rheumatic heart disease & S SH Y DOAP session Skill assessment General Medicine Pathology
infective Endocarditis
MI2.4 List the common microbial agents causing anemia. Describe the K KH Y Lecture, Small group Written/ Viva voce General Medicine Pathology
morphology, mode of infection and discuss the pathogenesis, discussion
clinical course, diagnosis and prevention and treatment of the
common microbial agents causing Anemia
MI2.5 Describe the etio-pathogenesis and discuss the clinical evolution K KH Y Lecture, Small group Written/ Viva voce General Medicine Pathology
and the laboratory diagnosis of kalazaar, malaria, filariasis and discussion
other common parasites prevalent in India
MI2.6 Identify the causative agent of malaria and filariasis K/S SH Y DOAP session Skill assessment General Medicine
MI2.7 Describe the epidemiology, the etio- pathogenesis evolution K KH Y Lecture, Small group Written/ Viva voce General Medicine Pathology
complications, opportunistic infections, diagnosis prevention and the discussion
principles of management of HIV
MI3.1 Enumerate the microbial agents causing diarrhea and dysentery. K KH Y Lecture, Small group Written/ Viva voce General Medicine, Pathology
Describe the epidemiology, morphology, pathogenesis, clinical discussion Paediatrics
features, and diagnostic modalities of these agents
MI3.2 Identify the common etiologic agents of diarrhea and dysentery S SH Y DOAP session Skill assessment General Medicine,
Paediatrics
122
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MI3.3 Describe the enteric fever pathogens and discuss the evolution of K KH Y Lecture, Small group Written/ Viva voce General Medicine Pharmacology,
the clinical course, the laboratory diagnosis of the diseases caused discussion Pathology
by them
MI3.4 Identify the different modalities for diagnosis of enteric fever. S KH Y DOAP session Skill assessment General Medicine Pathology
Choose the appropriate test related to the duration of illness
MI3.5 Enumerate the causative agents of food poisoning and discuss the K KH Y Lecture, Small group Written/ Viva voce General Medicine Pharmacology
pathogenesis, clinical course and laboratory diagnosis discussion
MI3.6 Describe the etio-pathogenesis of Acid peptic disease (APD) and K KH Y Lecture, Small group Written/ Viva voce General Medicine Pharmacology,
the clinical course. Discuss the diagnosis and management of the discussion Pathology
causative agent of APD
MI3.7 Describe the epidemiology, the etio- pathogenesis and discuss the K KH Y Lecture, Small group Written/ Viva voce General Medicine Pathology
viral markers in the evolution of Viral hepatitis. Discuss the discussion
modalities in the diagnosis, and prevention of viral hepatitis
MI3.8 Choose the appropriate laboratory test in the diagnosis of viral K KH Y Small group Written/ Viva voce/ OSPE General Medicine Pathology
hepatitis discussion, Case
discussion
MI4.1 Enumerate the microbial agents causing anaerobic infections. K KH Y Lecture Written/ Viva voce General Medicine
Describe the etiopathogenesis, clinical course and discuss the
laboratory diagnosis of anaerobic infections
MI5.1 Describe the etiopathogenesis, clinical course and discuss the K KH Y Lecture Written/ Viva voce General Medicine, Pathology
laboratory diagnosis of meningitis Paediatrics
laboratory diagnosis of encephalitis Paediatrics
MI5.3 Identify the microbial agents causing meningitis S SH Y DOAP session Skill assessment General Medicine,
Paediatrics
MI6.1 Describe the etio-pathogenesis, laboratory diagnosis and prevention K KH Y Lecture, Small group Written/ Viva voce General Medicine
of Infections of upper and lower respiratory tract discussion
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MI6.2 Identify the common etiologic agents of upper respiratory tract S P Y DOAP session Skill assessment 3 General Medicine
infections (Gram Stain)
MI6.3 Identify the common etiologic agents of lower respiratory tract S P Y DOAP session Skill assessment 3 General Medicine
infections (Gram Stain & Acid fast stain).
MI7.3 Describe the etio-pathogenesis, clinical features, the appropriate K KH Y Lecture, Small group Written/ Viva voce General Medicine
method for specimen
p collection,, and discuss the laboratoryy discussion
diagnosis of Urinary tract infections
MI8.1 Enumerate the microbial agents and their vectors causing Zoonotic K KH Y Lecture, Small group Written/ Viva voce General Medicine
diseases. Describe the morphology, mode of transmission, discussion
pathogenesis and discuss the clinical course, laboratory diagnosis
and prevention
MI8.2 Describe the etio-pathogenesis of opportunistic infections (OI) and K KH Y Lecture Written/ Viva voce General Medicine Pathology
discuss the factors contributing to the occurrence of OI, and the
laboratory diagnosis
MI8.3 Describe the role of oncogenic viruses in the evolution of virus K KH Y Lecture Written General Medicine Pathology
associated malignancy
MI8.4 Describe the etiologic agents of emerging Infectious diseases. K KH Y Lecture, Small group Written/ Viva voce General Medicine,
Discuss the clinical course and diagnosis discussion Community Medicine
MI8.5 Define Healthcare Associated Infections ( HAI) and enumerate it K KH Y Lecture, Small group Written/ Viva voce General Medicine,
yp
types. p
Discuss the factors that contribute to the development of HAI discussion Communityy Medicine
and the methods for prevention
Pharmacology
PH1.12 Calculate the dosage of drugs using appropriate formulae for an K/S SH Y Lecture, practical Written/ Viva voce Pediatrics, General
individual patient, including children, elderly and patient with renal Medicine
dysfunction
124
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P
PH1.16 Describe mechanism/s of action, types, doses, side effects, K KH Y Lecture Written/ Viva voce General Medicine
indications and contraindications of the drugs which act by
modulating autacoids, including: Anti-histaminics, 5-HT modulating
drugs, NSAIDs, Drugs for gout, Anti-rheumatic drugs, drugs for
migraine
PH1.21 Describe the symptoms and management of methanol and ethanol K KH Y Lecture, Small group Written/Viva voce General Medicine
poisonings discussion
PH1.25 Describe the mechanism/s of action,, types,

yp , doses,, side effects,, K KH Y Lecture,, Small group
g p Written/ Viva voce Physiology,
y gy, General
indications and contraindications of the drugs acting on blood, like discussion Medicine
anticoagulants, antiplatelets, fibrinolytics, plasma expanders
PH1.26 Describe mechanisms of action, types, doses, side effects, K KH Y Lecture, Small group Written/ Viva voce Physiology, General
indications and contraindications of the drugs modulating the renin discussion Medicine
angiotensin and aldosterone system
PH1.27 Describe the mechanisms of action, types, doses, side effects, K KH Y Lecture, Small group Written/ Viva voce General Medicine
indications and contraindications of Antihypertensive drugs and discussion
drugs used in shock
PH1.28 Describe the mechanisms of action, types, doses, side effects, K KH Y Lecture, Small group Written/ Viva voce General Medicine Pathology
indications and contraindications of the drugs used in discussion
ischemic heart disease (stable, unstable angina and myocardial
infarction), peripheral vascular disease
PH1.29 Describe the mechanisms of action, types, doses, side effects, K KH Y Lecture, Small group Written/ Viva voce General Medicine Pathology
indications and contraindications of the drugs used in discussion
congestive heart failure
PH1.30 Describe the mechanisms of action, types, doses, side effects, K KH N Lecture, Small group Written/ Viva voce General Medicine
indications and contraindications of the drugs used as discussion
Antiarrhythmics
PH1.31 Describe the mechanisms of action, types, doses, side effects, K KH Y Lecture, Small group Written/ Viva voce General Medicine
indications and contraindications of the drugs used in the discussion
management of dyslipidemia
125
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P
PH1.34 Describe the mechanism/s of action, types, doses, side effects, K KH Y Lecture, Small group Written/ Viva voce General Medicine
indications and contraindications of the drugs used as below: discussion
1. Acid-peptic disease and GERD
2. Antiemetics and prokinetics
3. Antidiarrhoeals
4. Laxatives
5. Inflammatory Bowel Disease
6. Irritable Bowel Disorders, biliary and pancreatic diseases
PH1.35 Describe the mechanism/s of action, types, doses, side effects, K KH Y Lecture Written/ Viva voce General Medicine, Pharmacology
indications and contraindications of drugs used in hematological Physiology
disorders like:
1.Drugs used in anemias
2.Colony Stimulating factors
PH1.36 Describe the mechanism of action, types, doses, side effects, K KH Y Lecture Written/ Viva voce General Medicine Pathology,
indications and contraindications of drugs used in endocrine Pharmacology
disorders (diabetes mellitus, thyroid disorders and osteoporosis)
PH1.43 Describe and discuss the rational use of antimicrobials including K KH Y Lecture Written/ Viva voce General Medicine Microbiology,
antibiotic stewardship program Pediatrics Pharmacology
PH1.47 Describe the mechanisms of action, types, doses, side effects, K KH Y Lecture Written/ Viva voce General Medicine Microbiology
indications and contraindications of the drugs used in malaria, KALA-
AZAR, amebiasis and intestinal helminthiasis
PH1.52 Describe management of common poisoning, insecticides, common K KH Y Lecture Written/ Viva voce General Medicine
sting and bites
PH2.4 Demonstrate the correct method of calculation of drug dosage in S SH Y DOAP sessions Skills assessment Pediatrics,
patients including those used in special situations Pharmacology
PH3.1 Write a rational, correct and legible generic prescription for a given S/C P Y Skill station Skill station 5 General Medicine
condition and communicate the same to the patient
PH3.3 Perform a critical evaluation of the drug promotional literature S P Y Skill Lab Maintenance of log book/ 3 General Medicine
Skill station
126
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P
PH3.5 To prepare and explain a list of P-drugs for a given case/condition S P Y Skill station Maintenance of log book 3 General Medicine
PH5.1 Communicate with the patient with empathy and ethics on all A/C SH Y Small group Skill station General Medicine
aspects of drug use discussion
PH5.4 Explain to the patient the relationship between cost of treatment A/C SH Y Small group Short note/ Viva voce General Medicine
and patient compliance discussion
Community Medicine
CM3.1 Describe the health hazards of air, water, noise, radiation and K KH Y Lecture, Small group Written/ Viva voce General Medicine,
pollution discussion ENT
CM3.3 Describe the aetiology and basis of water borne K KH Y Lecture, Small group Written/ Viva voce Microbiology, General
diseases/jaundice/hepatitis/ diarrheal diseases discussion, DOAP Medicine, Pediatrics
session
CM5.1 Describe the common sources of various nutrients and special K KH Y Lecture, Small group Written/ Viva voce General Medicine,
conditions
CM5.2 Describe and demonstrate the correct method of performing a S SH Y DOAP sessions Skill Assessment General Medicine,
nutritional assessment of individuals, families and the community by Pediatrics
using the appropriate method
CM5.3 Define and describe common nutrition related health disorders K KH Y Lecture, Small group Written/ Viva voce General Medicine,
(including macro-PEM, Micro-iron, Zn, iodine, Vit. A), their control discussion Pediatrics
and management
CM5.4 Plan and recommend a suitable diet for the individuals and families S SH Y DOAP sessions Skill Assessment General Medicine,
based on local availability of foods and economic status, etc in a Pediatrics
CM5.5 Describe the methods of nutritional surveillance, principles of K KH Y Lecture, Small group Written / Viva voce General Medicine,
cultural factors
127
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CM6.1 Formulate a research question for a study K KH Y Small group Written/ Viva voce/ Skill General Medicine,
discussion, Lecture, Assessment Pediatrics
DOAP sessions
CM6.2 Describe and discuss the principles and demonstrate the methods S SH Y Small group Written/ Viva voce/ Skill General Medicine,
of collection, classification, analysis, interpretation and presentation discussion, Lecture, Assessment Pediatrics
of statistical data DOAP sessions
CM6.3 Describe, discuss and demonstrate the application of elementary S SH Y Small group Written/ Viva voce/ Skill General Medicine,
statistical methods including test of significance in various study discussion, Lecture, Assessment Pediatrics
designs DOAP sessions
CM6.4 Enumerate, discuss and demonstrate common sampling S SH Y Small group Written/ Viva voce/ Skill General Medicine,
techniques, simple statistical methods, frequency distribution, discussion, Lecture, Assessment Pediatrics
measures of central tendency and dispersion DOAP sessions
CM7.1 Define Epidemiology and describe and enumerate the principles, K KH Y Small group Written/ Viva voce General Medicine
concepts and uses discussion, Lecture
CM7.2 Enumerate, describe and discuss the modes of transmission and K KH Y Small group Written/ Viva voce General Medicine
measures for prevention and control of communicable and non- discussion, Lecture
communicable diseases
CM7.3 Enumerate, describe and discuss the sources of epidemiological K KH Y Small group Written/ Viva voce General Medicine
data discussion, Lecture
CM7.4 Define, calculate and interpret morbidity and mortality indicators S SH Y Small group Written/ Skill assessment General Medicine
based on given set of data discussion, DOAP
sessions
CM7.5 Enumerate, define, describe and discuss epidemiological study K KH Y Small group Written / Viva voce General Medicine
designs. discussion, Lecture
CM7.6 Enumerate and evaluate the need of screening tests S SH Y Small group Written/ Skill assessment General Medicine
discussion, DOAP
sessions
CM7.7 Describe and demonstrate the steps in the Investigation of an S SH Y Small group Written/ Skill assessment General Medicine Microbiology
epidemic of communicable disease and describe the principles of discussion, DOAP
control measures. sessions
128
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CM7.8 Describe the principles of association, causation and biases in K KH Y Small group Written/ Viva voce General Medicine
epidemiological studies discussion, Lecture
CM8.1 Describe and discuss the epidemiological and control measures K KH Y Small group Written/ Viva voce General Medicine, Microbiology
CM8.2 Describe and discuss the epidemiological and control measures K KH Y Small group Written/ Viva voce General Medicine
including the use of essential laboratory tests at the primary care discussion, Lecture
le el for Non Comm
level nicable diseases (diabetes
Communicable (diabetes, H pertension
Hypertension,
Stroke, obesity and cancer etc.)
CM8.3 Enumerate and describe disease-specific National Health Programs K KH Y Small group Written/ Viva voce General Medicine,
CM8.4 Describe the principles and enumerate the measures to control a K KH Y Small group Written/ Viva voce General Medicine,
CM12.1 Define and describe the concept of Geriatric services K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
CM12.2 Describe health problems of aged population K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
CM12.3 Describe the prevention of health problems of aged population K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
CM12.4 Describe National program for elderly K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
CM13.1 Define and describe the concept of Disaster management K KH Y Lecture, Small group Written/ Viva voce General Surgery,
129
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CM13.2 Describe disaster management cycle K KH Y Lecture, Small group Written/ Viva voce General Surgery,
CM13.3 Describe man made disasters in the world and in India K KH Y Lecture, Small group Written / Viva voce General Surgery,
CM13.4 Describe the details of the National Disaster management Authority K KH Y Lecture, Small group Written / Viva voce General Surgery,
FM1.9 Describe the importance of documentation in medical practice in K KH Y Lecture, Small group Written/ Viva voce Radiodiagnosis,
regard to medicolegal examinations, Medical Certificates and discussion General Surgery,
medicolegal reports especially General Medicine,
– maintenance of patient case records, discharge summary, Pediatrics
prescribed registers to be maintained in Health Centres.
-- maintenance of medico-legal register like accident register.
- documents of issuance of wound certificate
- documents of issuance of drunkenness certificate.
- documents of issuance of sickness and fitness certificate.
- documents for issuance of death certificate.
- documents of Medical Certification of Cause of Death - Form
Number4 and 4A
- documents for estimation of age by physical, dental and
radiological examination and issuance of certificate
FM2.34 Demonstrate ability to use local resources whenever required like in A&C KH Y Lecture, Small group Written/Viva voce General Medicine,
mass disaster situations discussion AETCOM
FM3.22 Define and discuss impotence, sterility, frigidity, sexual dysfunction, K K/KH Y Lecture, Small group Written/ Viva voce Obstetrics &
premature ejaculation. Discuss the causes of impotence and sterility discussion Gynaecology,
in male and female General Medicine
FM5.5 Describe & discuss Delirium tremens K K/KH Y Lecture, Small group Written/Viva voce Psychiatry, General
discussion Medicine
FM8.6 Describe the general symptoms, principles of diagnosis and K K/KH Y Lecture, Small group Written/Viva voce/OSCE Pharmacology
management of common poisons encountered in India. discussion, Bed side
clinic, DOAP session
130
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FM8.7 Describe simple Bedside clinic tests to detect poison/drug in a K K/KH Y Lecture, Small group Written/Viva voce/OSCE Pharmacology,
patient’s body fluids discussion, Bed side General Medicine
clinic, DOAP session
FM8.8 Describe basic methodologies in treatment of poisoning: K K/KH Y Lecture, Small group Written/ Viva voce/ Pharmacology,
decontamination, supportive therapy, antidote therapy, procedures discussion, Bed side OSCE General Medicine
of enhanced elimination clinic, DOAP session
FM9.1 Describe General Principles and basic methodologies in treatment K K/KH Y Lecture, Small group Written/ Viva voce/ Pharmacology,
off poisoning:
i i d t i ti
decontamination, ti therapy,
supportive th tid t therapy,
antidote th di i
discussion, B d side
Bed id OSCE G l Medicine
General M di i
procedures of enhanced elimination with regard to: Caustics clinic, Autopsy, DOAP
Inorganic – sulphuric, nitric, and hydrochloric acids Organic- session
Carboloic Acid (phenol), Oxalic and acetylsalicylic acids .
of poisoning: decontamination, supportive therapy, antidote therapy, discussion, Bed side OSCE General Medicine
procedures of enhanced elimination with regard to Phosphorus, clinic, Autopsy, DOAP
Iodine, Barium session
procedures of enhanced elimination with regard to Arsenic, lead, clinic, Autopsy, DOAP
mercury, copper, iron, cadmium and thallium session
procedures of enhanced elimination with regard to Ethanol, clinic, Autopsy, DOAP
methanol, ethylene glycol session
procedures of enhanced elimination with regard to clinic, Autopsy, DOAP
Organophosphates, Carbamates, Organochlorines, Pyrethroids, session
Paraquat, Aluminium and Zinc phosphide
131
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procedures of enhanced elimination with regard to Ammonia, clinic, Autopsy, DOAP
carbon monoxide, hydrogen cyanide & derivatives, methyl session
isocyanate, tear (riot control) gases
procedures of enhanced elimination with regard to: clinic, Autopsy, DOAP
i. Antipyretics – Paracetamol, Salicylates session
ii Anti-Infectives
ii. A ti I f ti (C
(Common tibi ti – an overview)
antibiotics i )
iii. Neuropsychotoxicology Barbiturates, benzodiazepines,
phenytoin, lithium, haloperidol, neuroleptics, tricyclics
iv. Narcotic Analgesics, Anaesthetics, and Muscle Relaxants
v. Cardiovascular Toxicology Cardiotoxic plants – oleander,
odollam, aconite, digitalis
vi. Gastro-Intestinal and Endocrinal Drugs – Insulin
FM11.1 Describe features and management of Snake bite, scorpion sting, K K/KH Y Lecture, Small group Written/Viva voce General Medicine
bee and wasp sting and spider bite discussion, Autopsy
FM12.1 Describe features and management of abuse/poisoning with K K/KH Y Lecture, Small group Written/Viva voce General Medicine
following camicals: Tobacco, cannabis, amphetamines, cocaine, discussion, Autopsy
hallucinogens, designer drugs& solvent
FM13.1 Describe toxic pollution of environment, its medico-legal aspects & K K/KH Y Lecture, Small group Written/Viva voce General Medicine
toxic hazards of occupation and industry discussion
FM14.2 Demonstrate the correct technique of clinical examination in a S SH Y Bedside clinic Logbook Skill station/Viva General Medicine
suspected case of poisoning & prepare medico-legal report in a (ward/casualty), Small voce/ OSCE
simulated/ supervised environment group discussion
FM14.3 Assist and demonstrate the proper technique in collecting, S SH Y Bedside clinic, Small Skill lab/Viva voce General Medicine
preserving and dispatch of the exhibits in a suspected case of group
poisoning, along with clinical examination . discussion/DOAP
session
132
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P
DR9.1 Classify, describe the epidemiology, etiology, microbiology K KH Y Lecture, Small group Written /Viva voce General Medicine Microbiology,
pathogenesis and clinical presentations and diagnostic features of discussion Community Medicine
Leprosy
DR9.2 Demonstrate (and classify based on) the clinical features of leprosy S SH Y Lecture, Small group Bedside clinic session/ General Medicine
including an appropriate neurologic examination discussion Skill assessment
DR9.4 Enumerate, describe and identify lepra reactions and supportive K KH Y Lecture, Small group Written /Viva voce General Medicine Pharmacology
measures and therapy of lepra reactions discussion
DR9.5 Enumerate the indications and describe the pharmacology, K KH Y Lecture, Small group Written /Viva voce General Medicine Pharmacology,
administration and adverse reaction of pharmacotherapies for discussion Community Medicine
DR9.6 Describe the treatment of Leprosy based on the WHO guidelines K KH Y Lecture, Small group Written /Viva voce General Medicine Pharmacology,
DR9.7 Enumerate and describe the complications of leprosy and its K KH Y Lecture, Small group Written / Viva voce General Medicine Pharmacology,
management, including understanding disability and stigma. discussion Psychiatry
DR10.1 Identify and classify syphilis based on the presentation and clinical S SH Y Bedside clinic Skill assessment General Medicine Microbiology
manifestations
administration and adverse reaction of pharmacotherapies for discussion Microbiology
syphilis
DR10.4
DR10 4 Describe the prevention of congenital syphilis K KH Y Lecture,
Lecture Small group Written /Viva voce General Medicine
discussion
DR10.5 Counsel in a non-judgemental and empathetic manner patients on C SH Y Lecture, Small group Skill assessment General Medicine
prevention of sexually transmitted diseases discussion
DR10.6 Describe the etiology, diagnostic and clinical features of non- K KH Y Lecture, Small group Written /Viva voce General Medicine Microbiology
syphilitic sexually transmitted diseases (chancroid, donovanosis and discussion
LGV)
133
SH/P certify
P
DR10.7 Identify and differentiate based on the clinical features non-syphilitic S SH Y Lecture, Small group Skill assessment General Medicine Microbiology
sexually transmitted diseases (chancroid, donovanosis and LGV) discussion
indications and adverse reactions of drugs used in the non-syphilitic discussion Microbiology
sexually transmitted diseases (chancroid, donovanosis and LGV)
DR10.9 Describe the syndromic approach to ulcerative sexually transmitted K KH Y Lecture, Small group Written /Viva voce General Medicine
di
disease di i
discussion
DR10.10 Describe the etiology, diagnostic and clinical features and K KH Y Lecture, Small group Written /Viva voce General Medicine
management of gonococcal and non gonococcal urethritis discussion
DR11.1 Describe the etiology, pathogenesis and clinical features of the K KH Y Lecture, Small group Written /Viva voce General Medicine Microbiology
dermatologic manifestations of HIV and its complications including discussion
opportunistic infections
DR11.2 Identify and distinguish the dermatologic manifestations of HIV its S SH Y Lecture, Small group Skill assessment General Medicine Microbiology
complications, opportunistic infections and adverse reactions discussion
DR11.3 Enumerate the indications and describe the pharmacology, K KH Y Lecture, Small group Written / Viva voce General Medicine Pharmacology,
dermatologic lesions in HIV
DR12.7 Identify and distinguish fixed drug eruptions and Steven Johnson S SH Y Lecture, Small group Skill assessment General Medicine Pathology,
syndrome from other skin lesions discussion Microbiology
DR16.1 Identify and distinguish skin lesions of SLE S SH Y Lecture, Small group Skill assessment General Medicine Pathology
discussion
di i
DR16.2 Identify and distinguish Raynaud's phenomenon S SH Y Lecture, Small group Skill assessment General Medicine Pathology
discussion
DR17.1 Enumerate and identify the cutaneous findings in vitamin A K/S SH Y Lecture, Small group Skill assessment/ Viva General Medicine,
deficiency discussion voce Pediatrics,
Biochemistry
134
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P
DR17.2 Enumerate and describe the various skin changes in Vitamin B K KH Y Lecture, Small group Written/Viva voce General Medicine,
complex deficiency discussion Pediatrics,
Biochemistry
DR17.3 Enumerate and describe the various changes in Vitamin C K KH Y Lecture, Small group Written/Viva voce General Medicine,
deficiency discussion Pediatrics,
Biochemistry
DR17.4 Enumerate and describe the various changes in Zinc deficiency K KH Y Lecture, Small group Written/Viva voce General Medicine,
discussion Pediatrics
Pediatrics,
Biochemistry
DR18.1 Enumerate the cutaneous features of Type 2 diabetes K K Y Lecture, Small group Written/Viva voce General Medicine
discussion
DR18.2 Enumerate the cutaneous features of hypo- & hyperthyroidism K K Y Lecture, Small group Written/Viva voce General Medicine
discussion
Anesthesiology
AS2.1 Enumerate the indications, describe the steps and demonstrate in a S SH N DOAP session Skill assessment General Medicine,
simulated environment basic life support in adults children and Pediatrics
neonates
AS2.2 Enumerate the indications, describe the steps and demonstrate in a S SH N DOAP session Skill assessment General Medicine
simulated environment advanced life support in adults and children
AS3.1
AS3 1 Describe the principles of preoperative evaluation K KH Y Lecture,
Lecture Small group Written/ Viva voce General Surgery,
Surgery
AS3.2 Elicit, present and document an appropriate history including S SH Y DOAP session, Skill station General Surgery,
medication history in a patient undergoing Surgery as it pertains to a Bedside clinic General Medicine
preoperative anaesthetic evaluation
AS3.3 Demonstrate and document an appropriate clinical examination in a S SH Y DOAP session, Skill station General Surgery,
patient undergoing General Surgery Bedside clinic General Medicine
135
SH/P certify
P
AS3.4 Choose and interpret appropriate testing for patients undergoing S SH Y DOAP session, Skill station General Surgery,
Surgery Bedside clinic General Medicine
AS3.5 Determine the readiness for General Surgery in a patient based on S SH Y DOAP session, Skill station General Surgery,
the preoperative evaluation Bedside clinic General Medicine
AS7.2 Enumerate and describe the criteria for admission and discharge of S KH Y Lecture, Small group Written/ Viva voce General Medicine
a patient to an ICU discussion, DOAP
session
AS7 3
AS7.3 Ob
Observe dd
and ib th
describe the managementt off an unconscious
i ti t
patient S KH Y L t
Lecture, S ll group
Small W itt / Viva
Written/ Vi voce Ph i l
Physiology G l Medicine
General M di i
discussion DOAP
session
AS7.4 Observe and describe the basic setup process of a ventilator S KH Y Lecture, Small group Written/ Viva voce Physiology General Medicine
discussion DOAP
session
AS7.5 Observe and describe the principles of monitoring in an ICU S KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion DOAP
session
AS8.4 Describe the principles of pain management in palliative care K KH Y Lecture, Small group Written/ Viva voce Pharmacology General Medicine
discussion, DOAP
session
AS8.5 Describe the principles of pain management in the terminally ill K KH Y Lecture, Small group Written/ Viva voce Pharmacology General Medicine
discussion, DOAP
session
AS10.4
AS10 4 Define and describe common medical and medication errors in K KH Y Lecture,
Lecture Small group Written/ Viva voce Pharmacology General Medicine
anaesthesia discussion, DOAP
session
Otorhinolaryngology (ENT)
EN4.53 Describe the Clinical features, Investigations and principles of K KH N Lecture, Small group Written/ Viva voce/ Skill General Medicine
management of HIV manifestations of the ENT discussion, assessment
Demonstration
136
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P
Ophthalmology
OP5.2 Define, enumerate and describe the aetiology, associated systemic K KH Y Lecture, Small group Written/ Viva voce General Medicine
conditions, clinical features, complications, indications for referral discussion
and management of scleritis
OP6.3 Enumerate systemic conditions that can present as iridocyclitis and K KH Y Lecture, Small group Written/ Viva voce General Medicine
describe their ocular manifestations discussion
OP9.3 Describe the role of refractive error correction in a patient with K K Y Lecture, Small group Written/ Viva voce General Medicine
headache and enumerate the indications for referral discussion
Dentistry
DE1.4 Discuss the role of dental caries as a focus of sepsis K KH Y Lecture, Small group Written/ Viva voce Microbiology,
Psychiatry
PS3.7 Enumerate and describe common organic psychiatric disorders, K KH Y Lecture, Small group Written/ Viva voce General Medicine
magnitude, etiology and clinical features discussion
PS3.8 Enumerate and describe the essential investigations in patients with K KH Y Lecture, Small group Written/ Viva voce General Medicine
organic psychiatric disorders discussion
PS4.1 Describe the magnitude and etiology of alcohol and substance use K KH Y Lecture, Small group Lecture/ Small group General Medicine
disorders discussion discussion
PS4.2
PS4 2 Elicit,
Eli i d describe
ib and
dddocument clinical
li i l ffeatures off alcohol
l h l and
d S SH Y Bedside
B d id clinic,
li i DOAP Skill assessment General
G l Medicine
M di i
substance use disorders session
PS4.3 Enumerate and describe the indications and interpret laboratory and S SH Y Bedside clinic, DOAP Skill assessment General Medicine
other tests used in alcohol and substance abuse disorders session
PS4.4 Describe the treatment of alcohol and substance abuse disorders K KH Y Lecture, Small group Written/ Viva voce Pharmacology General Medicine
including behavioural and pharmacologic therapy discussion
137
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P
PS4.6 Enumerate and describe the pharmacologic basis and side effects K KH Y Lecture, Small group Written/ Viva voce Pharmacology General Medicine
of drugs used in alcohol and substance abuse discussion
PS10.1 Enumerate and describe the magnitude and etiology of somatoform, K KH Y Lecture, Small group Written/ Viva voce General Medicine
dissociative and conversion disorders discussion
PS10.2 Enumerate, elicit, describe and document clinical features in S SH Y Bedside clinic, DOAP Skill assessment General Medicine
patients with somatoform, dissociative and conversion disorders session
other tests used in somatoform, dissociative and conversion session
disorders
PS10.4 Describe the treatment of somatoform disorders including K KH Y Lecture, Small group Written/ Viva voce Pharmacology General Medicine
behavioural, psychosocial and pharmacologic therapy discussion
of drugs used in somatoform, dissociative and conversion disorders discussion
PS12.1 Enumerate and describe the magnitude and etiology of K KH Y Lecture Small group Written/ Viva voce General Medicine
psychosomatic disorders discussion
patients with magnitude and etiology of psychosomatic disorders session
other tests of psychosomatic disorders session
PS12.4 Describe the treatment of psychosomatic disorders including K KH Y Lecture, Small group Written/ Viva voce Pharmacology General Medicine
behavioural,
behavioural psychosocial and pharmacologic therapy discussion
PS16.1 Enumerate and describe common psychiatric disorders in the K KH Y Lecture, Small group Written/ Viva voce General Medicine
elderly including dementia, depression and psychosis discussion
PS16.2 Describe the aetiology and magnitude of psychiatric illness in the K KH Y Lecture, Small group Written/ Viva voce General Medicine
elderly discussion
PS16.3 Describe the therapy of psychiatric illness in elderly including K KH Y Lecture, Small group Written/ Viva voce General Medicine
psychosocial and behavioural therapy discussion
138
SH/P certify
P
PS16.4 Demonstrate family education in a patient with psychiatric disorders S SH Y Bedside clinic, DOAP Skill assessment General Medicine
occurring in the elderly in a simulated environment session
Obstetrics & Gynaecology

OG12.1 Define, classify and describe the etiology and pathophysiology, K KH Y Lecture, Small group Written/ Viva voce/ Skill General Medicine
early detection, investigations; principles of management of discussion, Bedside assessment
hypertensive disorders of pregnancy and eclampsia, complications clinics
of eclampsia
OG12.2 Define,, Classifyy and describe the etiology,

gy, pathophysiology,
p p y gy, K KH Y Lecture,, Small group
g p Written/ Viva voce/ Skill General Medicine
diagnosis, investigations, adverse effects on the mother and foetus discussion, Bedside assessment
and the management during pregnancy and labor, and clinics
complications of anemia in pregnancy
OG12.3 Define, Classify and describe the etiology, pathophysiology, K KH Y Lecture,Small group Written/ Viva voce/ Skill General Medicine
diagnosis, investigations, criteria, adverse effects on the mother and discussion, Bedside assessment
foetus and the management during pregnancy and labor, and clinics
complications of diabetes in pregnancy
OG12.4 Define, classify and describe the etiology, pathophysiology, K KH Y Lecture, Small group Written/ Viva voce/ Skill General Medicine
diagnosis, investigations, criteria, adverse effects on the mother and discussion, Bedside assessment
foetus and the management during pregnancy and labor, and clinics
complications of heart diseases in pregnancy
OG12.5 Describe the clinical features, detection, effect of pregnancy on the K KH Y Lecture, Small group Written/ Viva voce/ Skill General Medicine
disease and impact of the disease on pregnancy complications and discussion, Bedside assessment
management in pregnancy of urinary tract infections clinics
OG12.6
OG12 6 Describe the clinical features
features, detection
detection, effect of pregnancy on the K KH Y Lecture,
Lecture Small group Written/ Viva voce/ Skill General Medicine
disease and impact of the disease on pregnancy complications and discussion, Bedside assessment
management in pregnancy of liver disease clinics
OG12.7 Describe and discuss Screening, risk factors, management of K KH Y Lecture, Small group Written/ Viva voce/ Skill General Medicine
mother and newborn with HIV discussion, Bedside assessment
clinics
Pediatrics
139
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P
PE14.3 Discuss the risk factors, clinical features, diagnosis and K KH N Lecture, Small group Written/ Viva voce Pharmacology General Medicine
management of Organophosphorous poisoning discussion
PE32.3 Interpret normal Karyotype and recognize Trisomy 21 S SH Y Bedside clinics, Skills Log book General Medicine
lab
PE32.9 Discuss the referral criteria and multidisciplinary approach to K KH N Lecture, Small group Written/ Viva voce General Medicine,
management of Turner Syndrome discussion Obstetrics &
Gynecology
General Surgery
SU22.6 Describe and discuss the clinical features of hypo- & K KH Y Lecture, Small group Written/ Viva voce General Medicine
hyperparathyroidism and the principles of their management discussion
SU23.2 Describe the etiology, clinical features and principles of K KH Y Lecture, Small group Written/ Viva voce General Medicine
management of disorders of adrenal gland discussion
Orthopaedics
OR5.1 Describe and discuss the aetiopathogenesis, clinical features, K K/KH Y Lecture, Small group Written/ Viva voce General Medicine
Investigations and principles of management of various Discussion, Bedside OSCE
inflammatory disorder of joints clinic
OR11.1 Describe and discuss the aetiopathogenesis, Clinical features, K K/H Y Lecture Small Group Written/ Viva voce Human Anatomy General Medicine,
Investigations and principles of management of peripheral nerve discussion, case OSCE General surgery
injuries in diseases like foot drop, wrist drop, claw hand, palsies of discussion
Radial, Ulnar, Median, Lateral Popliteal and Sciatic Nerves
Physical Medicine & Rehabiliation
PM1.2 Define and describe disability, its cause, and magnitude, K KH Y Lecture, Small group Written/ Viva voce General Medicine
identification and prevention of disability discussion Orthopedics
PM1.3 Define and describe the methods to identify and prevent disability K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion Orthopedics
140
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P
PM1.4 Enumerate the rights and entitlements of differently abled persons K K Y Lecture, Small group Written/ Viva voce General Medicine
PM2.1 Describe the causes of disability in the patient with a K KH Y Lecture, Small group Written/ Viva voce Human Anatomy General Medicine
cerebrovascular accident discussion
PM2.2 Describe and discuss the treatment of rigidity and spasticity K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
PM2.3 Describe and discuss the principles of early mobilizations, mobility K KH Y Lecture, Small group Written/ Viva voce General Medicine
aids and splints discussion
PM2.4 Describe and discuss the impact of comorbidities on the K KH Y Lecture, Small group Written/ Viva voce General Medicine
rehabilitation of the patient with cerebrovascular accident discussion
PM4.1 Describe the common patterns, clinical features, investigations, K KH Y Lecture, Small group Written/ Viva voce General Medicine
diagnosis and treatment of common causes of arthritis discussion Orthopedics
PM4.5 Demonstrate correct assessment of muscle strength and range of S SH Y DOAP session, Skill assessment General Medicine
movements Bedside clinic Orthopedics
PM6.1 Perform and demonstrate a clinical examination of sensory and S SH Y Bedside clinic Skill assessment General Medicine
motor deficits of peripheral nerve
PM6.2 Enumerate the indications and describe the principles of nerve K KH Y Lecture, Small group Written/ Viva voce General Medicine
conduction velocity and EMG discussion
PM7.4 Assess bowel and bladder function and identify common patterns of S KH Y Small group Written/ Viva voce General Medicine
bladder dysfunction discussion Orthopedics
PM7.6 Enumerate the indications and describe the pharmacology and side K KH Y Lecture, Small group Written/ Viva voce Pharmacology General Medicine
effects of commonly used drugs in neuropathic bladder discussion
PM7.7 Enumerate and describe common life threatening complications K KH Y Lecture, Small group Written/ Viva voce General Medicine
following SCI like Deep vein Thrombosis, Aspiration Pneumonia, discussion Orthopedics
Autonomic dysreflexia
141
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P
PM8.1 Describe the clinical features, evaluation, diagnosis and K KH Y Lecture, Small group Written/ Viva voce General Medicine
management of disability following traumatic brain injury discussion Orthopedics
General Surgery
PM8.2 Describe and discuss cognitive dysfunction like deficits in attention, K KH Y Lecture, Small group Written/ Viva voce General Medicine
memory and communication discussion
PM8.3 Describe and discuss common behavior and mood changes K KH Y Lecture, Small group Written/ Viva voce General Medicine
following TBI discussion
PM8.4 Describe metabolic co-morbidities like SIADH, diabetes mellitus, K KH Y Lecture, Small group Written/ Viva voce General Medicine
insipidus and endocrine dysfunction following TBI discussion
PM8.5 Describe the Vocational opportunities and community based K KH Y Lecture, Small group Written/ Viva voce General Medicine
rehabilitation following TBI discussion
PM 9.1 Describe rehabilative aspects as they pertain to the elderly including K KH Y Lecture, Small group Written Viva voce General Medicine
patients with dementia, depression, incontinence immobility and Psychiatry
nutritional needs
Radiotherapy
RT1.3 Enumerate, describe and discuss classification and staging of K KH Y Lecture Written/ Viva voce Pathology General Surgery
cancer (AJCC, FIGO etc.) General Medicine
142
RESPIRATORY MEDICINE (CODE: CT)
Number COMPETENCY Domain Level Core Suggested Teaching Suggested Number Vertical Integration Horizontal Integration
The student should be able to K/S/A/C K/KH/ (Y/N) Learning method Assessment method required
SH/P to certify
P
RESPIRATORY MEDICINE
Topic:Tuberculosis Number of competencies: (19)   Number of procedures that require certification : (01)
CT1.1 Describe and discuss the epidemiology of tuberculosis and its K KH Y Lecture, Small group Written/ Viva voce Community Medicine
impact on the work, life and economy of India discussion
CT1.2 Describe and discuss the microbiology of tubercle bacillus, mode of K KH Y Lecture, Small group written Microbiology
transmission, pathogenesis, clinical evolution and natural history of discussion
pulmonary and extra pulmonary forms (including lymph node, bone
and CNS)
CT1.3 Discuss and describe the impact of co-infection with HIV and other K K Y Lecture, Small group written Microbiology
co-morbid conditions. Like diabetes on the natural history of discussion
tuberculosis
CT1.4 Describe the epidemiology, the predisposing factors and microbial K KH Y Lecture, Small group Written/ Viva voce Community Medicine,
and therapeutic factors that determine resistance to drugs discussion Microbiology,
Pharmacology
CT1.5 Elicit, document and present an appropriate medical history that S SH Y Bed side clinic, DOAP Skill assessment
includes risk factor, contacts, symptoms including cough and fever session
CNS and other manifestations
CT1.6 Demonstrate and perform a systematic examination that establishes S SH Y Bed side clinic, DOAP Skill assessment
the diagnosis based on the clinical presentation that includes a a) session
general examination, b) examination of the chest and lung including
loss of volume, mediastinal shift, percussion and auscultation
(including DOAP session of lung sounds and added sounds) c)
examination of the lymphatic system and d) relevant CNS
examination
CT1.7 Perform and interpret a PPD (mantoux) and describe and discuss S P Y DOAP session Maintenance of log Microbiology
the indications and pitfalls of the test book
CT1.8 Generate a differential diagnosis based on the clinical history and K K Y Bedside clinic, Small Bedside clinic/ Viva
evolution of the disease that prioritises the most likely diagnosis group discussion voce
143
SH/P to certify
P
CT1.9 Order and interpret diagnostic tests based on the clinical K K Y Bedside clinic, DOAP Skill assessment
presentation including: CBC, Chest X ray PA view, Mantoux, sputum session
culture and sensitivity, pleural fluid examination and culture, HIV
testing
CT1.10 Perform and interpret an AFB stain S P Y DOAP session Skill assessment 1 Microbiology
CT1.11 Assist in the performance, outline the correct tests that require to be S SH Y Skill assessment Skill assessment
performed and interpret the results of a pleural fluid aspiration
CT1.12 Enumerate the indications for tests including: serology, special K KH Y Small group discussion, Short note/ Viva voce Microbiology
cultures and polymerase chain reaction and sensitivity testing Lecture
CT1.13 Describe and discuss the origin, indications, technique of K KH Y Lecture, Small group Short note/ Viva voce Microbiology
administration, efficacy and complications of the BCG vaccine discussion
CT1.14 Describe and discuss the pharmacology of various anti-tuberculous K KH Y Lecture, Small group Short note/ Viva voce Pharmacology,
agents, their indications, contraindications, interactions and adverse discussion Microbiology
reactions
CT1.15 Prescribe an appropriate antituberculosis regimen based on the K SH Y Bedside clinic, Small Skill assessment Pharmacology,
location of disease, smear positivity and negativity and co- group discussion, Community Medicine
morbidities based on current national guidelines including directly Lecture
observed tuberculosis therapy (DOTS)
CT1.16 Describe the appropriate precautions, screening, testing and K KH Y Bedside clinic, Small Written Community Medicine
indications for chemoprophylaxis for contacts and exposed health group discussion
care workers
CT1.17 Define criteria for the cure of Tuberculosis; describe and recognise S P Y Lecture, Small group Written
the features of drug resistant tuberculosis, prevention and discussion
therapeutic regimens
CT1.18 Educate health care workers on National Program of Tuberculosis C SH Y DOAP session Skill assessment Community Medicine
and administering and monitoring the DOTS program
144
SH/P to certify
P
CT1.19 Communicate with patients and family in an empathetic manner S P Y DOAP session Skill assessment AETCOM
about the diagnosis, therapy
Topic: Obstructive airway disease Number of competencies: (28) Number of procedures that require certification : (01)
CT2.1 Define and classify obstructive airway disease K KH Y Lecture, Small group Written/ Viva voce Physiology, Pathology
discussion
CT2.2 Describe and discuss the epidemiology, risk factors and evolution of K KH Y Lecture, Small group Written/ Viva voce Physiology ,
obstructive airway disease discussion Pathology
CT2.3 Enumerate and describe the causes of acute episodes in patients K KH Y Lecture, Small group Written/ Viva voce
with obstructive airway disease discussion
CT2.4 Describe and discuss the physiology and pathophysiology of K KH Y Lecture, Small group Written/ Viva voce Physiology, Pathology
hypoxia and hypercapneia discussion
CT2.5 Describe and discuss the genetics of alpha 1 antitrypsin deficiency K KH N Lecture, Small group Written/ Viva voce Physiology, Pathology
in emphysema discussion
CT2.6 Describe the role of the environment in the cause and exacerbation K KH Y Lecture, Small group Written/ Viva voce Pathology
of obstructive airway disease discussion
CT2.7 Describe and discuss allergic and non-allergic precipitants of K KH Y Lecture, Small group Written/ Viva voce Pathology
obstructive airway disease discussion
CT2.8 Elicit document and present a medical history that will differentiate S SH Y Bed side clinic, DOAP Skill assessment
the aetiologies of obstructive airway disease, severity and session
precipitants
CT2.9 Perform a systematic examination that establishes the diagnosis S SH Y Bed side clinic, DOAP Skill assessment
and severity that includes measurement of respiratory rate, level of session
respiratory distress, effort tolerance, breath sounds, added sounds,
identification of signs of consolidation pleural effusion and
pneumothorax
145
SH/P to certify
P
CT2.10 Generate a differential diagnosis and prioritise based on clinical S SH Y Bed side clinic, DOAP Skill assessment/
features that suggest a specific aetiology session Written
CT2.11 Describe, discuss and interpret pulmonary function tests S SH Y Bed side clinic, DOAP Skill assessment Physiology, Pathology
session
CT2.12 Perform and interpret peak expiratory flow rate S P Y Bedside clinic, DOAP documentation in log 3
session book/ Skill
assessment
CT2.13 Describe the appropriate diagnostic work up based on the S SH Y Bedside clinic, Small Written/ Skill
presumed aetiology group discussion assessment
CT2.14 Enumerate the indications for and interpret the results of : pulse K SH Y Bedside clinics, Small Written/ Skill
oximetry, ABG, Chest Radiograph group discussion, DOAP assessment
session
CT2.15 Generate a differential diagnosis and prioritise based on clinical K SH Y Bedside clinics, Small Written/ Skill
features that suggest a specific aetiology group discussion, DOAP assessment
session
CT2.16 Discuss and describe therapies for OAD including bronchodilators, K KH Y Lecture, Small group Written/ Viva voce Pharmacology
leukotriene inhibitors, mast cell stabilisers, theophylline, inhaled and discussion
systemic steroids, oxygen and immunotherapy
CT2.17 Describe and discuss the indications for vaccinations in OAD K KH Y Lecture, Small group Written/ Viva voce
discussion
CT2.18 Develop a therapeutic plan including use of bronchodilators and K SH Y Bedside clinics, Small Written/ Skill
inhaled corticosteroids group discussion, DOAP assessment
session
146
SH/P to certify
P
CT2.19 Develop a management plan for acute exacerbations including K SH Y Bedside clinics, Small Written/ Skill
bronchodilators, systemic steroids, antimicrobial therapy group discussion, DOAP assessment
session
CT2.20 Describe and discuss the principles and use of oxygen therapy in K KH Y Lecture, Small group Written/ Viva voce
the hospital and at home discussion
CT2.21 Describe discuss and counsel patients appropriately on smoking K/C SH Y DOAP session Skill assessment AETCOM
cessation
CT2.22 Demonstrate and counsel patient on the correct use of inhalers S/C SH Y DOAP session Skill assessment
CT2.23 Communicate diagnosis treatment plan and subsequent follow up K/C SH Y DOAP session Skill assessment
plan to patients
CT2.24 Recognise the impact of OAD on patient’s quality of life, well being, A KH Y Small group discussion, Observation by faculty Community Medicine
work and family Bedside clinics
CT2.25 Discuss and describe the impact of OAD on the society and K KH Y Lecture, Small group Written/ Viva voce Community Medicine
workplace discussion
CT2.26 Discuss and describe preventive measures to reduce OAD in K KH Y Lecture, Small group Written/ Viva voce Community Medicine
workplaces discussion
CT2.27 Demonstrate an understanding of patient’s inability to change A KH Y Small group discussion, Observation by faculty Community Medicine
working, living and environmental factors that influence progression Bedside clinics
of airway disease
CT2.28 Demonstrate an understanding for the difficulties faced by patients A KH Y Small group discussion, Observation by faculty
during smoking cessation Bedside clinics

147
SH/P to certify
P
Integration
Physiology
PY6.8 Demonstrate the correct techinque to perform & interpret Spirometry S SH Y DOAP sessions Skill assessment/ Respiratory Medicine
Viva voce
Pharmacology
PH1.32 Describe the mechanism/s of action, types, doses, side effects, K KH Y Lecture, Small group Written/ Viva voce Respiratory Medicine
indications and contraindications of drugs used in bronchial asthma discussion
and COPD
PH1.33 Describe the mechanism of action, types, doses, side effects, K KH Y Lecture, Small group Written/ Viva voce Respiratory Medicine
indications and contraindications of the drugs used in cough discussion
(antitussives, expectorants/ mucolytics)
PH1.44 Describe the first line antitubercular dugs, their mechanisms of K KH Y Lecture Written/ Viva voce Respiratory Medicine
action, side effects and doses.
PH1.45 Describe the dugs used in MDR and XDR Tuberculosis K KH Y Lecture Written/ Viva voce Respiratory Medicine Microbiology
General Medicine
IM24.10 Describe and discuss the aetiopathogenesis,clinical presentation, K KH Y Lecture, Small group Written/ Viva voce Respiratory Medicine
management and rehabilitation of COPD in the elderly
Pediatrics
PE28.19 Describe the etio-pathogenesis, clinical features, diagnosis, S SH Y Bedside clinics, Small Skill Assessment/ Respiratory Medicine
management and prevention of asthma in children group discussion, Written/ Viva voce
Lecture
148
SH/P to certify
P
PE28.20 Counsel the child with asthma on the correct use of inhalers in a S P Y Bedside clinics, Small Skills Assessment/ 3 Respiratory Medicine
simulated environment group discussion, Written/ Viva voce
Lecture
PE34.1 Discuss the epidemiology, clinical features, clinical types, K KH Y Lecture, Small group Written/ Viva voce Microbiology Respiratory Medicine
complications of Tuberculosis in Children and Adolescents discussion
PE34.2 Discuss the various diagnostic tools for childhood tuberculosis K KH Y Lecture, Small group Written/ Viva voce Microbiology Respiratory Medicine
discussion
Pharmacology
Pharmacology
PE34.5 Able to elicit, document and present history of contact with S SH Y Bedside clinics, Skill lab Skill Assessment Respiratory Medicine
tuberculosis in every patient encounter
PE34.6 Identify a BCG scar S P Y Bed side clinics, Skills Skill Assessment 3 Microbiology Respiratory Medicine
lab
PE34.7 Interpret a Mantoux test S P Y Bed side clinics Skill assessment 3 Microbiology Respiratory Medicine
Skills lab
PE34.8 Interpret a Chest Radiograph S SH Y Bedside clinics Skill assessment Radiodiagnosis Respiratory Medicine
Skills lab
PE34.9 Interpret blood tests in the context of laboratory evidence for S SH N Bed side clinics, Log book Microbiolgoy Respiratory Medicine
tuberculosis Small group discussion
PE34.10 Discuss the various samples for demonstraing the organism eg K KH Y Bed side clinics, Written/ Viva voce Microbiolgoy Respiratory Medicine
Gastric Aspirate, Sputum , CSF, FNAC Small group discussion
PE34.11 Perform AFB staining S P Y DOAP session Log book/Journal 3 Microbiology Respiratory Medicine
PE34.12 Enumerate the indications and discuss the limitations of methods of K KH Y Small group discussion Written/ Viva voce Microbiology Respiratory Medicine
culturing M.Tuberculii
149
PEDIATRICS (CODE: PE)
Number COMPETENCY Domain Level Core Suggested Teaching Suggested Assessment Number Vertical Integration Horizontal
The student should be able to K/S/A/C K/KH/ Y/N Learning methods methods required Integration
SH/P to certify
P
PEDIATRICS
Topic: Normal Growth and Development Number of competencies : (07) Number of procedures that require certification: (02)
PE1.1 Define the terminologies Growth and development and discuss the K KH Y Lecture, Small group Written/ Viva voce
factors affecting normal growth and development discussion
PE1.2 Discuss and describe the patterns of growth in infants, children and K KH Y Lecture, Small group Written/ Viva voce Psychiatry
adolescents discussion
PE1.3 Discuss and describe the methods of assessment of growth K KH Y Lecture, Small group Written/ Viva voce Psychiatry
including use of WHO and Indian national standards. Enumerate discussion
the parameters used for assessment of physical growth in infants,
children and adolescents
PE1.4 Perform Anthropometric measurements, document in growth charts S P Y Small group Document in Log book 3
and interpret discussion
PE1.5 Define development and discuss the normal developmental mile K KH Y Lecture, Small group Written/ Viva voce Psychiatry
stones with respect to motor, behaviour, social, adaptive and discussion
language
PE1.6 Discuss the methods of assessment of development K KH Y Lecture, Small group Written/ Viva voce
discussion
PE1.7 Perform Developmental assessment and interpret S P N Bedside clinics, Skills Document in Log book 3
Lab
L b
Topic: Common problems related to Growth Number of competencies:(06) Number of procedures that require certification: (NIL)
PE2.1 Discuss the etio-pathogenesis, clinical features and management of K KH Y Lecture, Small group Written/ Viva voce
a child who fails to thrive discussion
PE2.2 Assessment of a child with failing to thrive including eliciting an S SH Y Bedside clinics Skills Station
appropriate history and examination
150
SH/P to certify
P
PE2.3 Counselling a parent with failing to thrive child A/C SH Y OSPE Document in Log book AETCOM
a child with short stature discussion
PE2.5 Assessment of a child with short stature: S SH Y Bedside clinics, Skill Assessment
Elicit history, perform examination, document and present Skill lab
PE2 6
PE2.6 Enumerate the referral criteria for growth related problems K K Y Small group Written/ Viva voce
discussion
Topic: Common problems related to Development -1 (Developmental delay , Cerebral palsy)

Number of competencies:(08) Number of procedures that require certification: (NIL)
PE3.1 Define, enumerate and discuss the causes of developmental delay K K Y Lecture, Small group Written/ Viva voce
and disability including intellectual disability in children discussion
PE3.2 Discuss the approach to a child with developmental delay K K Y Lecture, Small group Written/ Viva voce
discussion
PE3.3 Assessment of a child with developmental delay - Elicit document S SH Y Bedside clinics, Skill Assessment
and present history Skills lab
PE3.4 Counsel a parent of a child with developmental delay S SH Y DOAP session Document in Log Book
PE3.5 Discuss the role of the child developmental unit in management of K K N Lecture, Small group Written/ Viva voce Community Medicine
developmental delay discussion
PE3.6 Discuss the referral criteria for children with developmental delay K K Y Lecture, Small group Written/ Viva voce
discussion
PE3.7 Visit a Child Developmental Unit and observe its functioning S KH Y Lecture, Small group Log book Entry Community Medicine
discussion
PE3.8 Discuss the etio-pathogenesis, clinical presentation and multi- K KH Y Lecture, Small group, Written/ Viva voce Physical Medicine &
disciplinary approach in the management of Cerebral palsy Bedside clinics Rehabilitation
151
SH/P to certify
P
Topic: Common problems related to Development-2 (Scholastic backwardness, Learning Disabilities , Autism , ADHD)
Number of competencies: (06) Number of procedures that require certification: (NIL)
PE4.1 Discuss the causes and approach to a child with scholastic K K N Lecture, Small group Written
backwardness discussion
PE4.2 Discuss the etiology, clinical features, diagnosis and management K K N Lecture, Small group Written
of a child with Learning Disabilities discussion
of a child with Attention Deficit Hyperactivity Disorder (ADHD) discussion
of a child with Autism discussion
PE4.5 Discuss the role of Child Guidance clinic in children with K K N Lecture, Small group Written/ Viva voce Psychiatry
Developmental problems discussion
PE4.6 Visit to the Child Guidance Clinic S KH N Lecture, Small group Document in Log Book
discussion
Topic: Common problems related to behavior Number of competencies: ( 11) Number of procedures that require certification: (NIL)
PE5.1 Describe the clinical features, diagnosis and management of thumb K K N Lecture, Small group Written
sucking discussion
PE5.2 Describe the clinical features, diagnosis and management of K K N Lecture, Small group Written
Feeding problems discussion
PE5.3 Describe the clinical features, diagnosis and management of nail K K N Lecture, Small group Written/ Viva voce
biting discussion
PE5.4 Describe the clinical features, diagnosis and management of Breath K K N Lecture, Small group Written/ Viva voce Psychiatry
Holding spells discussion
152
SH/P to certify
P
PE5.5 Describe the clinical features, diagnosis and management of temper K K N Lecture, Small group Written/ Viva voce Psychiatry
tantrums discussion
PE5.6 Describe the clinical features, diagnosis and management of Pica K K N Lecture, Small group Written/ Viva voce
discussion
PE5.7 Describe the clinical features, diagnosis and management of Fussy K K N Lecture, Small group Written Psychiatry
infant discussion
PE5.8 Discuss the etiology, clinical features and management of Enuresis K K N Lecture, Small group Written/ Viva voce
discussion
PE5.9 Discuss the etiology, clinical features and management of K K N Lecture, Small group Written/ Viva voce
Encopresis discussion
PE5.10 Discuss the role of child guidance clinic in children with behavioural K K N Lecture, Small group Written/ Viva voce Psychiatry
problems and the referral criteria discussion
PE5.11 Visit to Child Guidance Clinic and observe functioning K KH N Lecture, Small group Document in Log Book
discussion
Topic: Adolescent Health & common problems related to Adolescent Health Number of competencies: (13) Number of procedures that require certification: (NIL)
PE6.1 Define Adolescence and stages of adolescence K K Y Lecture, Small group Written/ Viva voce
discussion
PE6.2 Describe the physical, physiological and psychological changes K KH Y Lecture, Small group Written/ Viva voce Psychiatry
during adolescence (Puberty) discussion
PE6.3 Discuss the general health problems during adolescence K KH Y Lecture, Small group Written/ Viva voce
discussion
PE6.4 Describe adolescent sexuality and common problems related to it K KH N Lecture, Small group Written/ Viva voce Psychiatry
discussion
PE6.5 Explain the Adolescent Nutrition and common nutritional K KH Y Lecture, Small group Written/ Viva voce Psychiatry
problems discussion
153
SH/P to certify
P
PE6.6 Discuss the common Adolescent eating disorders (Anorexia K KH N Lecture, Small group Written/ Viva voce Psychiatry
Nervosa, Bulimia) discussion
PE6.7 Describe the common mental health problems during K KH Y Lecture, Small group Written/ Viva voce Psychiatry
adolescence discussion
PE6.8 Respecting patient privacy and maintaining confidentiality while A SH Y Bedside clinics Document in log book AETCOM
dealing with adolescence
PE6.9 Perform routine Adolescent Health check up including eliciting S SH Y Bedside clinics Skills station
history, performing examination including SMR (Sexual Maturity
Rating), growth assessments (using Growth charts) and systemic
exam including thyroid and Breast exam and the HEADSS
screening
PE6.10 Discuss the objectives and functions of AFHS (Adolescent Friendly K K N Lecture, Small group Written/ Viva voce
Health Services) and the referral criteria discussion
PE6.11 Visit to the Adolescent Clinic S KH Y DOAP session Document in Log Book
PE6.12 Enumerate the importance of obesity and other NCD in adolescents K K Y Lecture, Small group Written/ Viva voce
discussion
PE6.13 Enumerate the prevalence and the importance of recognition of K K N Lecture, Small group Written/ Viva voce Psychiatry
sexual drug abuse in adolescents and children discussion
Topic: To promote and support optimal Breast feeding for Infants Number of competencies: (11) Number of procedures that require certification: (01)
PE7.1 Awareness on the cultural beliefs and practices of breast feeding K K N Viva Obstetrics &
Lecture, Small group Gynaecology
discussion
PE7.2 Explain the physiology of lactation K KH Y Lecture, Small group Written/ Viva voce Physiology
discussion
154
SH/P to certify
P
PE7.3 Describe the composition and types of breast milk and discuss the K KH Y Lecture, debate Written/ Viva voce Physiology
differences between cow’s milk and Human milk
PE7.4 Discuss the advantages of breast milk K KH Y Lecture, Small group Written/ Viva voce
discussion
PE7.5 Observe the correct technique of breast feeding and distinguish S P Y Bedside clinics, Skills Skill Assessment 3
right from wrong techniques lab
PE7.6 Enumerate the baby friendly hospital initiatives K KH Y Lecture, Small group Written/ Viva voce
discussion
PE7.7 Perform breast examination and identify common problems during S SH Y Bedside clinics, Skill Assessment Obstetrics &
lactation such as retracted nipples, cracked nipples, breast Skill Lab Gynaecology,
engorgement, breast abscess AETCOM
PE7.8 Educate mothers on ante natal breast care and prepare mothers for A/C SH Y DOAP session Document in Log Book AETCOM
lactation
PE7.9 Educate and counsel mothers for best practices in Breast feeding A/C SH Y DOAP session Document in Log Book Obstetrics &
Gynaecology,
AETCOM
PE7.10 Respects patient privacy A SH Y DOAP session Document in Log Book AETCOM
PE7.11 Participate in Breast Feeding Week Celebration A SH Y DOAP session Document in Log Book
Topic: Complementary Feeding Number of competencies : (05) Number of procedures that require certification: (NIL)
PE8.1 Define the term Complementary Feeding K K Y Lecture, Small group Written/ Viva voce Community Medicine
discussion
155
SH/P to certify
P
PE8.2 Discuss the principles, the initiation, attributes, frequency, K KH Y Lecture, Small group Written/ Viva voce Community Medicine
techniques and hygiene related to Complementary Feeding discussion
including IYCF
PE8.3 Enumerate the common complimentary foods K K Y Lecture, Small group Written/ Viva voce Community Medicine
discussion
PE8 4
PE8.4 Elicit history on the Complementary Feeding habits S SH Y clinics Skills Skill Assessment
Bedside clinics, Community Medicine
lab
PE8.5 Counsel and educate mothers on the best practices in A/C SH Y DOAP session Document in Log Book Community Medicine
Complimentary Feeding
Topic: Normal nutrition, assessment and monitoring Numbcompetencies : (07) Number of procedures that require certification: (NIL)
PE9.1 Describe the age related nutritional needs of infants, children and K KH Y Lecture, Small group Written/ Viva voce Community Medicine,
adolescents including micronutrients and vitamins discussion Biochemistry
PE9.2 Describe the tools and methods for assessment and classification of K KH Y Lecture, Small group Written/ Viva voce Community Medicine
nutritional status of infants, children and adolescents discussion
PE9.3 Explains the Calorific value of common Indian foods K K Y Lecture, Small group Written/ Viva voce Biochemistry
discussion
PE9.4 Elicit document and present an appropriate nutritional history and S SH Y Bedside clinic, Skill Assessment Community Medicine
perform a dietary recall Skills lab
PE9.5 Calculate the age related calorie requirement in Health and S SH Y Bedside clinics, Small Skill assessment Community Medicine
Disease and identify gap group discussion
PE9.6 Assess and classify the nutrition status of infants, children and S SH Y Bedside clinic, Small Skill Assessment Community Medicine
adolescents and recognize deviations group discussion
156
SH/P to certify
P
PE9.7 Plan an appropriate diet in health and disease S SH N Bedside clinic, Small Document in logbook Community Medicine
group discussion
Topic: Provide nutritional support , assessment and monitoring for common nutritional problems
Number of competencies: (06)   Number of procedures that require certification: (NIL)
PE10.1 Define and describe the etioetio-pathogenesis,

pathogenesis, classify including WHO K KH Y Lecture, Small group Written/ Viva voce Physiology,
classification, clinical features, complication and management of discussion Biochemistry
Severe Acute Malnourishment (SAM) and Moderate Acute
Malnutrition (MAM)
PE10.2 Outline the clinical approach to a child with SAM and MAM K KH Y Lecture, Small group Written/ Viva voce Physiology,
discussion Biochemistry
PE10.3 Assessment of a patient with SAM and MAM, diagnosis, S SH Y Bedside clinics, Skills Skill station Physiology,
classification and planning management including hospital and lab Biochemistry
community based intervention, rehabilitation and prevention
PE10.4 Identify children with under nutrition as per IMNCI criteria and plan S SH Y DOAP session Document in log book Community Medicine
referral
PE10.5 Counsel parents of children with SAM and MAM S SH Y Bedside clinic, Skills Document in Log book AETCOM
Station
PE10.6 Enumerate the role of locally prepared therapeutic diets and ready K K N Lecture, Small group Written/ Viva voce
to use therapeutic diets discussion
Topic: Obesity in children Number of competencies: (06) Number of procedures that require certification: (01)
PE11.1 Describe the common etiology, clinical features and management K KH Y Lecture, Small group Written/ Viva voce Physiology,
of obesity in children discussion Biochemistry,
Pathology
157
SH/P to certify
P
PE11.2 Discuss the risk approach for obesity and discuss the prevention K KH Y Lecture, Small group Written/ Viva voce Physiology,
strategies discussion Pathology
PE11.3 Assessment of a child with obesity with regard to eliciting history S SH Y Bedside clinics, Document in log book
including physical activity, charting and dietary recall Standardized patients
PE11.4 Examination including calculation of BMI, measurement of waist hip S SH Y Bedside clinics, Skills Station
ratio, identifying
y g external markers like acanthosis, striae, Standardized ppatients,
pseudogynaecomastia etc Videos
PE11.5 Calculate BMI, document in BMI chart and interpret S P Y Bedside clinics, Document in log book 3
Small group
discussion
PE11.6 Discuss criteria for referral K K Y Small group Viva voce
discussion
Topic: Micronutrients in Health and disease-1 (Vitamins ADEK, B Complex and C)

PE12.1 Discuss the RDA, dietary sources of Vitamin A and their role in K K Y Lecture, Small group Written/ Viva voce Biochemistry
Health and disease discussion
PE12.2 Describe the causes, clinical features, diagnosis and management K KH Y Lecture, Small group Written/ Viva voce Biochemistry
of Deficiency / excess of Vitamin A discussion
PE12.3 Identify the clinical features of dietary deficiency / excess of Vitamin S SH Y Bedside clinics, Small Document in log book Biochemistry
A group discussion
PE12.4 Diagnose patients with Vitamin A deficiency, classify and plan S SH N Bedside clinics, Skill Document in log book Biochemistry
management Station
PE12.5 Discuss the Vitamin A prophylaxis program and their K K Y Lecture, Small group Written/ Viva voce Biochemistry
recommendations discussion
158
SH/P to certify
P
PE12.6 Discuss the RDA, dietary sources of Vitamin D and their role in K K Y Lecture, Small group Written/ Viva voce Biochemistry
health and disease discussion
PE12.7 Describe the causes, clinical features, diagnosis and management K KH Y Lecture, Small group Written/ Viva voce Biochemistry,
of Deficiency / excess of Vitamin D (Rickets and Hypervitaminosis discussion Physiology, Pathology
D)
PE12 8
PE12.8 Identify the clinical features of dietary deficiency of Vitamin D S SH Y clinics Skills Document in log book
Bedside clinics, Biochemistry
Biochemistry,
lab Physiology,
Pathology
PE12.9 Assess patients with Vitamin D deficiency, diagnose, classify and S SH Y Bedside clinics Document in log book Biochemistry,
plan management Physiology,
Pathology
PE12.10 Discuss the role of screening for Vitamin D deficiency K K Y Lecture, Small group Written/ Viva voce
discussion
PE12.11 Discuss the RDA, dietary sources of Vitamin E and their role in K K N Lecture, Small group Written/ Viva voce Biochemistry
PE12.12 Describe the causes, clinical features, diagnosis and management K KH N Lecture, Small group Written/ Viva voce Biochemistry
of deficiency of Vitamin E discussion
PE12.13 Discuss the RDA, dietary sources of Vitamin K and their role in K K N Lecture, Small group Written/ Viva voce Biochemistry,
health and disease discussion Physiology,
Pathology
PE12.14
PE12 14 Describe the causes
causes, clinical features
features, diagnosis management and K KH N Lecture,
Lecture Small group Written/ Viva voce Biochemistry,
Biochemistry
prevention of deficiency of Vitamin K discussion Physiology,
Pathology
PE12.15 Discuss the RDA, dietary sources of Vitamin B and their role in K K Y Lecture, Small group Written/ Viva voce Biochemistry
of deficiency of B complex Vitamins discussion
159
SH/P to certify
P
PE12.17 Identify the clinical features of Vitamin B complex deficiency S SH Y Bedside clinics, Skills Document in log book Biochemistry
lab
PE12.18 Diagnose patients with Vitamin B complex deficiency and plan S SH Y Bedside clinics, Document in log book Biochemistry
management Skills lab
PE12.19 Discuss the RDA , dietary sources of Vitamin C and their role in K KH N Lecture, Small group Written/ Viva voce Biochemistry
Health and disease discussion
of deficiency of Vitamin C (scurvy) discussion
PE12.21 Identify the clinical features of Vitamin C deficiency S SH N Bedside clinics, Skill Document in log book Biochemistry
lab
Topic: Micronutrients in Health and disease -2: Iron, Iodine, Calcium, Magnesium
Number of competencies: (14)   Number of procedures that require certification: (NIL)
PE13.1 Discuss the RDA, dietary sources of Iron and their role in health K K Y Lecture, Small group Written/ Viva voce Pathology,
and disease discussion Biochemistry
PE13.2 Describe the causes, diagnosis and management of Fe deficiency K KH Y Lecture, Small group Written/ Viva voce Pathology,
discussion Biochemistry
PE13.3 Identify the clinical features of dietary deficiency of Iron and make a S SH Y Bedside clinics, Skills Document in log book Pathology,
diagnosis lab Biochemistry
PE13.4 Interpret hemogram and Iron Panel S SH Y Bedside clinic, Small Skill Assessment Pathology,
group discussion Biochemistry
PE13.5 Propose a management plan for Fe deficiency anaemia S SH Y Bedside clinics, Skills Skill Assessment Pathology,
lab Pharmacology
PE13.6 Discuss the National anaemia control program and its K K Y Lecture, Small group Written/ Viva voce Pharmacology,
recommendations discussion Community Medicine
160
SH/P to certify
P
PE13.7 Discuss the RDA , dietary sources of Iodine and their role in Health K K Y Lecture, Small group Written/ Viva voce Biochemistry
and disease discussion
PE13.8 Describe the causes, diagnosis and management of deficiency of K KH Y Lecture, Small group Written/ Viva voce Biochemistry
Iodine discussion
PE13.9 Identify the clinical features of Iodine deficiency disorders S SH N Lecture, Bedside Written/ Viva voce Biochemistry
clinic
PE13.10 Discuss the National Goiter Control program and their K K Y Lecture, Small group Written/ Viva voce Biochemistry,
recommendations discussion Community Medicine
PE13.11 Discuss the RDA, dietary sources of Calcium and their role in health K K Y Lecture, Small group Written/ Viva voce Biochemistry
and disease discussion
of Ca Deficiency discussion
PE13.13 Discuss the RDA, dietary sources of Magnesium and their role in K K N Lecture, Small group Written/ Viva voce Biochemistry
of Magnesium Deficiency discussion
Topic: Toxic elements and free radicals and oxygen toxicity Number of competencies: (05) Number of procedures that require certification (NIL)
PE14.1 Discuss the risk factors, clinical features, diagnosis and K KH N Lecture, Small group Written/ Viva voce Pharmacology
management of Lead Poisoning discussion
PE14.2 Discuss the risk factors, clinical features, diagnosis and K KH N Lecture, Small group Written/ Viva voce ENT
management of Kerosene ingestion discussion
PE14.3 Discuss the risk factors, clinical features, diagnosis and K KH N Lecture, Small group Written/ Viva voce Pharmacology General Medicine
management of Organophosphorous poisoning discussion
161
SH/P to certify
P
PE14.4 Discuss the risk factors, clinical features, diagnosis and K KH N Lecture, Small group Written/ Viva voce Pharmacology
management of paracetamol poisoning discussion
PE14.5 Discuss the risk factors, clinical features, diagnosis and K KH N Lecture, Small group Written/ Viva voce
management of Oxygen toxicity discussion
Topic: Fluid and electrolyte balance Number of competencies:(07) Number of procedures that require certification:(NIL)
PE15.1 Discuss the fluid and electrolyte requirement in health and K KH Y Lecture, Small group Written/ Viva voce
disease discussion
PE15.2 Discuss the clinical features and complications of fluid and K KH Y Lecture, Small group Written/ Viva voce
electrolyte imbalance and outline the management discussion
PE15.3 Calculate the fluid and electrolyte requirement in health S SH Y Bedside clinics, Small Skill Assessment
group discussion
PE15.4 Interpret electrolyte report S SH Y Bedside clinics, Small Skill Assessment

group discussion
PE15.5 Calculate fluid and electrolyte imbalance S SH Y Bedside clinics, Small Skill Assessment
group discussion
PE15.6 Demonstrate the steps of inserting an IV cannula in a model S SH Y Skills Lab mannequin
PE15.7 Demonstrate the steps of inserting an interosseous line in a S SH Y Skills Lab mannequin
mannequin
Topic: Integrated Management of Neonatal and Childhood Illnesses (IMNCI) Guideline

Number of competencies:(03) Number of procedures that require certification: (NIL)
PE16.1 Explain the components of Integrated Management of Neonatal and K KH Y Lecture, Small group Written/ Viva voce
Childhood Illnesses (IMNCI) guidelines and method of Risk discussion
stratification
162
SH/P to certify
P
PE16.2 Assess children <2 months using IMNCI Guidelines S SH Y DOAP session Document in log Book
PE16.3 Assess children >2 to 5 years using IMNCI guidelines and Stratify S SH Y DOAP session Document in log Book
Risk
Topic: The National Health programs, NHM Number of competencies:(02) Number of procedures that require certification: (NIL)
PE17 1
PE17.1 State the vision and outline the goals
goals, strategies and plan of action K KH Y Lecture Small group
Lecture, Written/ Viva voce Community Medicine
of NHM and other important national programs pertaining to discussion
maternal and child health including RMNCH A+, RBSK, RKSK,
JSSK mission Indradhanush and ICDS
PE17.2 Analyse the outcomes and appraise the monitoring and evaluation K KH Y Debate Written/ Viva voce Community Medicine
of NHM
Topic: The National Health Programs: RCH Number of competencies: (08) Number of procedures that require certification: (NIL)
PE18.1 List and explain the components, plan, outcome of Reproductive K KH Y Lecture, Small group Written/ Viva voce Community Medicine Obstetrics &
Child Health (RCH) program and appraise its monitoring and discussion Gynaecology
evaluation
PE18.2 Explain preventive interventions for child survival and safe K KH Y Lecture, Small group Written/ Viva voce Community Medicine Obstetrics &
motherhood discussion Gynaecology
PE18.3
PE18 3 Conduct Antenatal examination of women independently and apply S SH Y Bedside clinics Skill station Community Medicine Obstetrics &
at-risk approach in antenatal care Gynaecology
PE18.4 Provide intra-natal care and conduct a normal delivery in a S SH Y DOAP session, Skills Document in Log Book Community Medicine Obstetrics &
simulated environment lab Gynaecology
PE18.5 Provide intra-natal care and observe the conduct of a normal S SH Y DOAP session Document in Log Book Obstetrics &
delivery Gynaecology
163
SH/P to certify
P
PE18.6 Perform Postnatal assessment of newborn and mother, provide S SH Y Bed side clinics, Skill Skill Assessment Community Medicine Obstetrics &
advice on breast feeding, weaning and on family planning Lab Gynaecology
PE18.7 Educate and counsel caregivers of children A SH Y Postnatal ward, Skill Assessment AETCOM
standardized patient
PE18.8 Observe the implementation of the program by visiting the Rural S KH Y Bed side clinics, Skill Document in log book Community Medicine Obstetrics &
Health Centre Lab Gynaecology
Topic: National Programs, RCH - Universal Immunizations program Number of competencies: (16)  Number of procedures that require certification: (01)
PE19.1 Explain the components of the Universal Immunization Program and K KH Y Lecture, Small group Written/ Viva voce Community Medicine,
the National Immunization Program discussion Microbiology,
Biochemistry
PE19.2 Explain the epidemiology of Vaccine preventable diseases K KH Y Lecture, Small group Written/ Viva voce Community Medicine,
discussion Microbiology,
Biochemistry
PE19.3 Vaccine description with regard to classification of vaccines, strain K KH Y Lecture, Small group Written/ Viva voce Community Medicine,
used, dose, route, schedule, risks, benefits and side effects, discussion Microbiology,
indications and contraindications Biochemistry
PE19.4 Define cold chain and discuss the methods of safe storage and K KH Y Lecture, Small group Written/ Viva voce Community Medicine,
handling of vaccines discussion Microbiology,
Biochemistry
PE19.5 Discuss immunization in special situations – HIV positive children, K KH Y Lecture, Small group Written/ Viva voce Community Medicine,
immunodeficiency, pre-term, organ transplants, those who received discussion Microbiology,
blood and blood products, splenectomised children, adolescents, Biochemistry
travellers
PE19.6 Assess patient for fitness for immunization and prescribe an age S P Y Out Patient clinics Skill Assessment 5
appropriate immunization schedule Skills lab
164
SH/P to certify
P
PE19.7 Educate and counsel a patient for immunization A/C SH Y DOAP session Document in Log Book
PE19.8 Demonstrate willingness to participate in the National and sub A SH Y Lecture, Small group Document in Log Book Community Medicine
national immunisation days discussion
PE19.9 Describe the components of safe vaccine practice – Patient K KH Y Lecture, Small group Written/ Viva voce AETCOM
education/ counselling; adverse events following immunization, safe discussion
injection practices, documentation and Medico-legal implications
PE19.10 Observe the handling and storing of vaccines S SH Y DOAP session Written/ Viva voce
PE19.11 Document Immunization in an immunization record S SH Y Out Patient clinics, Skill assessment
Skills lab
PE19.12 Observe the administration of UIP vaccines S SH Y DOAP session Document in Log Book Community Medicine
PE19.13 Demonstrate the correct administration of different vaccines in a S SH Y DOAP session Document in Log Book
mannequin
PE19.14 Practice Infection control measures and appropriate handling of the S SH Y DOAP session Document in Log Book
sharps
PE19.15 Explain the term implied consent in Immunization services K K Y Small group Written/ Viva voce
discussion
PE19.16 Enumerate available newer vaccines and their indications including K K N Lecture, Small group Written/ Viva voce
pentavalent pneumococcal, rotavirus, JE, typhoid IPV & HPV discussion
Topic: Care of the Normal New born, and High risk New born Number of competencies: (20) Number of procedures that require certification: (NIL)
165
SH/P to certify
P
PE20.1 Define the common neonatal nomenclatures including the K KH Y Lecture, Small group Written/ Viva voce
classification and describe the characteristics of a Normal Term discussion
Neonate and High Risk Neonates
PE20.2 Explain the care of a normal neonate K KH Y Lecture, Small group Written/ Viva voce
discussion
PE20.3 Perform Neonatal resuscitation in a manikin S SH Y DOAP session Log book entry of
Performance
PE20.4 Assessment of a normal neonate S SH Y Bedside clinics, Skills Skill Assessment

lab
PE20.5 Counsel / educate mothers on the care of neonates A/C SH Y DOAP session Log book documentation
PE20.6 Explain the follow up care for neonates including Breast Feeding, S SH Y DOAP session Log book entry Obstetrics &
Temperature maintenance, immunization, importance of growth Gynaecology
monitoring and red flags
PE20.7 Discuss the etiology, clinical features and management of Birth K KH Y Lecture, Small group Written/ Viva voce
asphyxia discussion
PE20.8 Discuss the etiology, clinical features and management of K KH Y Lecture, Small group Written/ Viva voce
respiratory distress in New born including meconium aspiration and discussion
transient
i tachypnoea
h off newborn
b
PE20.9 Discuss the etiology, clinical features and management of Birth K KH Y Lecture, Small group Written/ Viva voce
injuries discussion
PE20.10 Discuss the etiology, clinical features and management of K KH Y Lecture, Small group Written/ Viva voce
Hemorrhagic disease of New born discussion
166
SH/P to certify
P
PE20.11 Discuss the clinical characteristics, complications and management K KH Y Lecture, Small group Written/ Viva voce
of Low birth weight (preterm and Small for gestation) discussion
PE20.12 Discuss the temperature regulation in neonates, clinical features K KH Y Lecture, Small group Written/ Viva voce
and management of Neonatal Hypothermia discussion
PE20.13 Discuss the temperature regulation in neonates, clinical features K KH Y Lecture, Small group Written/ Viva voce
and management of Neonatal Hypoglycemia discussion
PE20.14 Discuss the etiology, clinical features and management of Neonatal K KH Y Lecture, Small group Written/ Viva voce
hypocalcemia discussion
seizures discussion
Sepsis discussion
PE20.17 Discuss the etiology, clinical features and management of Perinatal K KH Y Lecture, Small group Written/ Viva voce
infections discussion
PE20.18 Identify and stratify risk in a sick neonate using IMNCI guidelines S SH Y DOAP session Document in Log Book
hyperbilirubinemia
h bili bi i discussion
di i
PE20.20 Identify clinical presentations of common surgical conditions in the K KH Y Lecture, Small group Written/ Viva voce
new born including TEF, esophageal atresia, anal atresia, cleft lip discussion
and palate, congenital diaphragmatic hernia and causes of acute
abdomen
Topic: Genito-Urinary system Number of competencies: (17) Number of procedures that require certification: (NIL)
167
SH/P to certify
P
PE21.1 Enumerate the etio-pathogenesis, clinical features, complications K KH Y Lecture, Small group Written/ Viva voce Microbiology
and management of Urinary Tract infection in children discussion
PE21.2 Enumerate the etio-pathogenesis, clinical features, complications K KH Y Lecture, Small group Written/ Viva voce Pathology
and management of acute post-streptococcal Glomerular Nephritis discussion
in children
PE21.3 Discuss the approach and referral criteria to a child with Proteinuria K KH Y Lecture, Small group Written/ Viva voce Pathology
discussion
PE21.4 Discuss the approach and referral criteria to a child with Hematuria K KH Y Lecture, Small group Written/ Viva voce Human Anatomy
discussion
and management of Acute Renal Failure in children discussion
and management of Chronic Renal Failure in Children discussion
and management of Wilms Tumor discussion
PE21.8 Elicit, document and present a history pertaining to diseases of the S SH Y Bedside clinics, Skills Skill Assessment General Surgery
Genitourinary tract lab
PE21.9 Identify external markers for Kidney disease, like Failing to thrive, S SH Y Bedside clinics, Skills Document in log book
hypertension, pallor, Icthyosis, anasarca lab
PE21.10 y symptom
Analyse y p p the p
and interpret y
physical g and arrive at
findings S SH Y Bedside clinics,, Skills Log
g book
an appropriate provisional / differential diagnosis lab
PE21.11 Perform and interpret the common analytes in a Urine examination S SH Y Bedside clinics, Skill assessment Biochemistry,
Skills lab Pathology
PE21.12 Interpret report of Plain X Ray of KUB S SH Y Bedside clinics, Log book Radiodiagnosis
Skills lab
168
SH/P to certify
P
PE21.13 Enumerate the indications for and Interpret the written report of Ultra S SH Y Bedside clinics, Log book Radiodiagnosis
sonogram of KUB Skills lab
PE21.14 Recognize common surgical conditions of the abdomen and S SH Y Bedside clinics, Skills Log book assessment General Surgery
genitourinary system and enumerate the indications for referral lab
including acute and subacute intestinal obstruction, appendicitis,
pancreatitis, perforation intussusception, Phimosis, undescended
testis, Chordee, hypospadiasis, Torsion testis, hernia Hydrocele,
Vulval Synechiae
PE21.15 Discuss and enumerate the referral criteria for children with S SH Y Bedside clinics, Skills Log book assessment
genitourinary disorder lab
PE21.16 Counsel / educate a patient for referral appropriately A/C SH Y DOAP session Document in Log book AETCOM
PE21.17 Describe the etiopathogenesis, grading, clinical features and K KH Y Lecture, Small group Short notes
management of hypertension in children discussion
Topic: Approach to and recognition of a child with possible Rheumatologic problem

Number of competencies: (03) Number of procedures that require certification:(NIL)
PE22.1 Enumerate the common Rheumatological problems in children. K KH Y Lecture, Small group Written/ Viva voce
Discuss the clinical approach to recognition and referral of a child discussion
with Rheumatological problem
PE22.2 Counsel a patient with Chronic illness S SH N Bedside clinics Log book
Skills lab
PE22.3 Describe the diagnosis and management of common vasculitic K K N Lecture, Small group Written/ Viva voce
disorders including Henoch Schonlein Purpura, Kawasaki Disease, discussion
SLE, JIA
Topic: Cardiovascular system- Heart Diseases Number of competencies: (18) Number of procedures that require certification:(NIL)
PE23.1 Discuss the Hemodynamic changes, clinical presentation, K KH Y Lecture, Small group Written/ Viva voce Physiology,
complications and management of Acyanotic Heart Diseases discussion Pathology
–VSD, ASD and PDA
169
SH/P to certify
P
PE23.2 Discuss the Hemodynamic changes, clinical presentation, K KH Y Lecture, Small group Written/ Viva voce Physiology,
complications and management of Cyanotic Heart Diseases – discussion Pathology
Fallot’s Physiology
PE23.3 Discuss the etio-pathogenesis, clinical presentation and K KH Y Lecture, Small group Written/ Viva voce Physiology,
management of cardiac failure in infant and children discussion Pathology
PE23.4 Discuss the etio-pathogenesis, clinical presentation and K KH Y Lecture, Small group Written/ Viva voce Physiology,
management off Acute Rheumatic Fever in children discussion Pathology
PE23.5 Discuss the clinical features, complications, diagnosis, management K KH Y Lecture, Small group Written/ Viva voce Physiology,
and prevention of Acute Rheumatic Fever discussion Pathology
PE23.6 Discuss the etio-pathogenesis, clinical features and management of K KH Y Lecture, Small group Written/ Viva voce Physiology,
Infective endocarditis in children discussion Pathology,
Microbiology
PE23.7 Elicit appropriate history for a cardiac disease, analyse the S SH Y Bedside clinics, Skills Skill Assessment
symptoms e.g. breathlessness, chest pain, tachycardia, feeding lab
difficulty, failing to thrive, reduced urinary output, swelling, syncope,
cyanotic spells, Suck rest cycle, frontal swelling in infants.
Document and present
PE23.8 Identify external markers of a cardiac disease e.g. Cyanosis, S SH Y Bedside clinics, Skills Skill Assessment
Clubbing, dependent edema, dental caries, arthritis, erythema rash, Lab
chorea, subcutaneous nodules, Oslers node, Janeway lesions and
document
PE23.9 Record pulse, blood pressure, temperature and respiratory rate and S SH Y Bedside clinics, Skills Skill Assessment
interpret as per the age lab
PE23.10 Perform independently examination of the cardiovascular system – S SH Y Bedside clinics, Skill station
look for precordial bulge, pulsations in the precordium, JVP and its Skills lab
significance in children and infants, relevance of percussion in
Pediatric examination, Auscultation and other system examination
and document
170
SH/P to certify
P
PE23.11 Develop a treatment plan and prescribe appropriate drugs including S SH Y Bedside clinics, Skills log book
fluids in cardiac diseases, anti -failure drugs, and inotropic agents lab
PE23.12 Interpret a chest X ray and recognize Cardiomegaly S SH Y Bedside clinics, Skills Log book entry Radiodiagnosis
lab
PE23.13 Choose and Interpret blood reports in Cardiac illness S P Y Bedside clinics, Small Log book entry
group discussion
PE23.14 Interpret Pediatric ECG S SH Y Bedside clinics, Skills Log book entry
lab
PE23.15 Use the ECHO reports in management of cases S SH Y Bedside clinics Log book entry Radiodiagnosis
PE23.16 Discuss the indications and limitations of Cardiac catheterization K K N Small group Viva voce
discussion
PE23.17 Enumerate some common cardiac surgeries like BT shunt, Potts K K N Small group Viva voce
and Waterston’s and corrective surgeries discussion
PE23.18 Demonstrate empathy while dealing with children with cardiac A SH Y Small group Document in Log Book AETCOM
diseases in every patient encounter discussion
Topic:Diarrhoeal diseases and Dehydration Number of competencies: (17) Number of procedures that require certification:(03)
PE24.1 Discuss the etio-pathogenesis, classification, clinical presentation K KH Y Lecture, Small group Written/ Viva voce Pathology,
and management of diarrheal diseases in children discussion Microbiology
PE24.2 Discuss the classification and clinical presentation of various types K KH Y Lecture, Small group Written/ Viva voce Pathology,
of diarrheal dehydration discussion Microbiology
171
SH/P to certify
P
PE24.3 Discuss the physiological basis of ORT, types of ORS and the K KH Y Lecture, Small group Written/ Viva voce
composition of various types of ORS discussion
PE24.4 Discuss the types of fluid used in Paediatric diarrheal diseases and K KH Y Lecture, Small group Written/ Viva voce
their composition discussion
PE24.5 Discuss the role of antibiotics, antispasmodics, anti-secretory K KH Y Lecture, Small group Written/ Viva voce Pharmacology,
drugs, probiotics, anti-emetics in acute diarrheal diseases discussion Microbiology
PE24.6 Discuss the causes, clinical presentation and management of K KH Y Lecture, Small group Written/ Viva voce Microbiology
persistent diarrhoea in children discussion
PE24.7 Discuss the causes, clinical presentation and management of K KH Y Lecture, Small group Written/ Viva voce
chronic diarrhoea in children discussion
PE24.8 Discuss the causes, clinical presentation and management of K KH Y Lecture, Small group Written/ Viva voce Pharmacology,
dysentery in children discussion Microbiology
PE24.9 Elicit, document and present history pertaining to diarrheal diseases S SH Y Bedside clinics, Skills Skill assessment
lab
PE24.10 Assess for signs of dehydration, document and present S SH Y Bedside clinics, Skills Skill assessment
lab
PE24.11 Apply the IMNCI guidelines in risk stratification of children with S SH Y Bedside clinics, Skills Document in Log book
diarrheal dehydration and refer lab
PE24.12 Perform and interpret stool examination including Hanging Drop S SH N Bedside clinics, Log book Microbiology
Skills lab
PE24.13 Interpret RFT and electrolyte report S SH Y Bedside clinics, Document in Log Book
Small group
discussion
PE24.14 Plan fluid management as per the WHO criteria S SH Y Bedside clinics, Small Skills Station
group activity
172
SH/P to certify
P
PE24.15 Perform NG tube insertion in a manikin S P Y DOAP session Document in Log book 2
PE24.16 Perform IV cannulation in a model S P Y DOAP session Document in Log book 2
PE24.17 Perform Interosseous insertion model S P Y DOAP session Document in Log book 2
Topic: Malabsorption Number of competencies: (01) Number of procedures that require certification:(NIL)
PE25.1 Discuss the etio-pathogenesis, clinical presentation and K KH N Lecture, Small group Written/ Viva voce Pathology
management of Malabsorption in Children and its causes including discussion
celiac disease
Topic: Acute and chronic liver disorders Number of competencies: (13) Number of procedures that require certification: (NIL)
PE26.1 Discuss the etio-pathogenesis, clinical features and management of K KH Y Lecture, Small group Written/ Viva voce Pathology,
acute hepatitis in children activity Microbiology
Fulminant Hepatic Failure in children activity Microbiology
chronic liver diseases in children activity Microbiology
PE26.4 Discuss the etio-pathogenesis, clinical features and management of K KH Y Lecture, Small group Written/ Viva voce Pathology
Portal Hypertension in children activity
PE26.5 Elicit document and present the history related to diseases of S SH Y Bedside clinics, Skills Skills Station
Gastrointestinal system lab
PE26.6 Identify external markers for GI and Liver disorders e.g.. Jaundice, S SH Y Bedside clinics, Skills Skill Assessment
Pallor, Gynaecomastia, Spider angioma, Palmar erythema, lab
Icthyosis, Caput medusa, Clubbing, Failing to thrive, Vitamin A and
D deficiency
173
SH/P to certify
P
PE26.7 Perform examination of the abdomen, demonstrate organomegaly, S SH Y Bedside clinics, Skills Skill Assessment
ascites etc. lab
PE26.8 Analyse symptoms and interpret physical signs to make a S SH Y Bedside clinics, Skill Skill Assessment
provisional/ differential diagnosis lab
PE26.9 Interpret Liver Function Tests, viral markers, ultra sonogram report S SH Y Bedside clinics, Skills Skill Assessment Pathology
lab
PE26.10 Demonstrate the technique of liver biopsy in a Perform Liver Biopsy S SH Y DOAP session Document in log book
in a simulated environment
PE26.11 Enumerate the indications for Upper GI endoscopy K K N Small group Viva voce
discussion
PE26.12 Discuss the prevention of Hep B infection – Universal precautions K KH Y Lecture, Small group Written/ Viva voce Microbiology
and Immunisation activity
PE26.13 Counsel and educate patients and their family appropriately on liver A/C P y Bedside clinics, Skills Document in log book
diseases lab
Topic: Pediatric Emergencies – Common Pediatric Emergencies Number of competencies: (35) Number of procedures that require certification:(10)
PE27.1
PE27 1 List the common causes of morbidity and mortality in the under five K K Y Lecture,
Lecture Small group Written/ Viva voce
children discussion
PE27.2 Describe the etio-pathogenesis, clinical approach and management K KH Y Lecture, Small group Written/ Viva voce
of cardiorespiratory arrest in children discussion
PE27.3 Describe the etio-pathogenesis of respiratory distress in children K KH Y Lecture, Small group Written/ Viva voce
discussion
174
SH/P to certify
P
PE27.4 Describe the clinical approach and management of respiratory K KH Y Lecture, Small group Written/ Viva voce
distress in children discussion
of Shock in children discussion
of Status epilepticus discussion
of an unconscious child discussion
PE27.8 Discuss the common types, clinical presentations and management K KH Y Lecture, Small group Written/ Viva voce
of poisoning in children discussion
PE27.9 Discuss oxygen therapy, in Pediatric emergencies and modes of K KH Y Lecture, Small group Written/ Viva voce
administration discussion
PE27.10 Observe the various methods of administering Oxygen S KH Y Demonstration Document in log book
PE27.11 Explain the need and process of triage of sick children brought to K KH Y Lecture, Small group Written/ Viva voce
health facility discussion
PE27.12 Enumerate emergency signs and priority signs K KH Y Lecture, Small group Written/ Viva voce
discussion
PE27.13
PE27 13 List the sequential approach of assessment of emergency and K KH Y Lecture,
priority signs discussion
PE27.14 Assess emergency signs and prioritize S SH Y DOAP session, Skills Skills Assessment
lab
PE27.15 Assess airway and breathing: recognise signs of severe respiratory S P Y DOAP session, Skills Skills Assessment 3
distress. Check for cyanosis, severe chest indrawing, grunting lab
175
SH/P to certify
P
PE27.16 Assess airway and breathing. Demonstrate the method of S P Y DOAP session, Skills Skills Assessment 3
positioning of an infant & child to open airway in a simulated Lab
environment
PE27.17 Assess airway and breathing: administer oxygen using correct S P Y DOAP session, Skills Skills Assessment 3
technique and appropriate flow rate Lab
PE27.18 Assess airway and breathing: perform assisted ventilation by Bag S P Y DOAP session, Skills Skills Assessment 3
d maskk iin a simulated
and i l t d environment
i t l b
lab
PE27.19 Check for signs of shock i.e. pulse, Blood pressure, CRT S P Y DOAP session, Skills Skills Assessment 3
Lab
PE27.20 Secure an IV access in a simulated environment S P Y DOAP session, Skills Skills Assessment 3
Lab
PF27.21 Choose the type of fluid and calculate the fluid requirement in shock S P Y DOAP session, Small Skills Assessment 3
group activity
PE27.22 Assess level of consciousness & provide emergency treatment to a S P Y DOAP session, Skills Skills Assessment 3
child with convulsions/ coma Lab
- Position an unconscious child
- Position a child with suspected trauma
- Administer IV/per rectal Diazepam for a convulsing child in a
PE27.23
PE27 23 Assess
A ffor signs
i off severe dehydration
d h d ti S P Y Bedside
B d id clinics,
li i Skills Skill station
Skill t ti 3
lab
PE27.24 Monitoring and maintaining temperature: define hypothermia. K KH Y Lecture, Small group Written/ Viva voce
Describe the clinical features, complications and management of discussion
Hypothermia
PE27.25 Describe the advantages and correct method of keeping an infant K KH Y Lecture, Small group Written/ Viva voce
warm by skin to skin contact discussion
176
SH/P to certify
P
PE27.26 Describe the environmental measures to maintain temperature K KH Y Lecture, Small group Written/ Viva voce
discussion
PE27.27 Assess for hypothermia and maintain temperature S SH Y Skills lab Skills Assessment
PE27.28 Provide BLS for children in manikin S P Y Skills Lab 3
PE.27.29 Discuss the common causes, clinical presentation, medico-legal K KH Y Lecture, Small group Written/ Viva voce
implications of abuse discussion
PE27.30 Demonstrate confidentiality with regard to abuse A SH Y Skills lab, Skills Station
standardized patients
PE27.31 Assess child for signs of abuse S SH Y DOAP session, Skills Log book
lab
PE27.32 Counsel parents of dangerously ill / terminally ill child to break a S SH Y DOAP session Document in Log book
bad news
PE27.33 Obtain Informed Consent S SH Y DOAP session Document in Log book
PE27.34 Willing to be a part of the ER team A SH Y DOAP session Document in Log book
PE27.35 Attends to emergency calls promptly A SH Y DOAP session Document in Log Book
Topic: Respiratory system Number of competencies: (20)   Number of procedures that require certification: (NIL)
PE28.1 Discuss the etio-pathogenesis, clinical features and management of K KH Y Lecture, Small group Written/ Viva voce ENT
Naso pharyngitis discussion
PE28.2 Discuss the etio-pathogenesis of Pharyngo Tonsillitis K KH Y Lecture, Small group Written/ Viva voce ENT
discussion
177
SH/P to certify
P
PE28.3 Discuss the clinical features and management of Pharyngo K KH Y Lecture, Small group Written/ Viva voce ENT
Tonsillitis discussion
Acute Otitis Media (AOM) discussion
Epiglottitis discussion
Acute laryngo- trachea-bronchitis discussion
PE28.7 Discuss the etiology, clinical features and management of Stridor in K KH Y Lecture, Small group Written/ Viva voce ENT
children discussion
PE28.8 Discuss the types, clinical presentation, and management of foreign K KH Y Lecture, Small group Written/ Viva voce ENT
body aspiration in infants and children discussion
PE28.9 Elicit, document and present age appropriate history of a child with S SH Y Bedside clinics, skill Skill Assessment ENT
upper respiratory problem including Stridor lab
PE28.10 Perform otoscopic examination of the ear S SH Y DOAP session Skills Assessment ENT
PE28.11 Perform throat examination using tongue depressor S SH Y DOAP session Skills Assessment ENT
PE28.12
PE28 12 Perform examination of the nose S SH Y DOAP session Skills Assessment ENT
PE28.13 Analyse the clinical symptoms and interpret physical findings and S SH Y Bedside clinics Skills Assessment
make a provisional / differential diagnosis in a child with ENT
symptoms
PE28.14 Develop a treatment plan and document appropriately in a child with S SH Y Bedside clinics Skills Assessment
upper respiratory symptoms
178
SH/P to certify
P
PE28.15 Stratify risk in children with stridor using IMNCI guidelines S SH Y Bedside clinics Log book documentation
PE28.16 Interpret blood tests relevant to upper respiratory problems S SH N Bedside clinics, Small Log book
group discussion
PE28.17 Interpret X-ray of the paranasal sinuses and mastoid; and /or use S SH Y Bedside clinics, Small Skills Assessment ENT, Radiodiagnosis
written report in case of management group discussion
Interpret CXR in foreign body aspiration and lower respiratory tract
infection, understand the significance of thymic shadow in pediatric
chest X-rays
PE28.18 Describe the etio-pathogenesis, diagnosis, clinical features, S SH Y Bedside clinics, Small Skill Assessment/
management and prevention of lower respiratory infections including group discussion, Written/ Viva voce
bronchiolitis, wheeze associated LRTI Pneumonia and empyema Lecture
PE28.19 Describe the etio-pathogenesis, diagnosis, clinical features, S SH Y Bedside clinics, Small Skill Assessment/ Respiratory Medicine
management and prevention of asthma in children group discussion, Written/ Viva voce
Lecture
PE28.20 Counsel the child with asthma on the correct use of inhalers in a S SH Y Bedside clinics, Small Skills Assessment/ Respiratory Medicine
simulated environment group discussion, Written/ Viva voce
Lecture
Topic: Anemia and other Hemato-oncologic disorders in children Number of competencies: (20 )   Number of procedures that require certification: (NIL)
PE29.1 Discuss the etio-pathogenesis, clinical features, classification and K KH Y Lecture, Small group Written/ Viva voce Pathology,
approach to a child with anaemia discussion Physiology
Iron Deficiency anaemia discussion Physiology
179
SH/P to certify
P
PE29.3 Discuss the etiopathogenesis, clinical features and management of K KH Y Lecture, Small group Written/ Viva voce Pathology,
VIT B12, Folate deficiency anaemia discussion Physiology
Hemolytic anemia, Thalassemia Major, Sickle cell anaemia, discussion Physiology
Hereditary spherocytosis, Auto-immune hemolytic anaemia and
hemolytic
y uremic syndrome
y
PE29.5 Discuss the National Anaemia Control Program K KH Y Lecture, Small group Written/ Viva voce Community Medicine
discussion
PE29.6 Discuss the cause of thrombocytopenia in children: describe the K KH N Lecture, Small group Written/ Viva voce Pathology
clinical features and management of Idiopathic Thrombocytopenic discussion
Purpura (ITP)
PE29.7 Discuss the etiology, classification, pathogenesis and clinical K KH N Lecture, Small group Written/ Viva voce Pathology
features of Hemophilia in children discussion
PE29.8 Discuss the etiology, clinical presentation and management of Acute K KH N Lecture, Small group Written/ Viva voce Pathology
Lymphoblastic Leukemia in children discussion
PE29.9 Discuss the etiology, clinical presentation and management of K KH N Lecture, Small group Written/ Viva voce Pathology
lymphoma in children discussion
PE29.10 Elicit, document and present the history related to Hematology S SH Y Bedside clinics, Skills Skills Station
lab
PE29.11 Identify external markers for hematological disorders e.g.. Jaundice, S SH Y Bedside clinics, Skills Skill assessment
Pallor, Petechiae purpura, Ecchymosis, Lymphadenopathy, bone lab
tenderness, loss of weight, Mucosal and large joint bleed
PE29.12 Perform examination of the abdomen, demonstrate organomegaly S SH Y Bedside clinics, Skills Skill assessment
lab
180
SH/P to certify
P
PE29.13 Analyse symptoms and interpret physical signs to make a S SH Y Bedside clinics, Skill Skill assessment
provisional/ differential diagnosis lab
PE29.14 Interpret CBC, LFT S SH Y Bedside clinics, Skills Skill assessment

lab
PE29.15 Perform and interpret peripheral smear S SH Y DOAP session Document in log book
PE29.16 Discuss the indications for Hemoglobin electrophoresis and interpret K K N Small group Viva voce Biochemistry
report discussion
PE29.17 Demonstrate performance of bone marrow aspiration in manikin S SH Y Skills lab Document in log Book
PE29.18 Enumerate the referral criteria for Hematological conditions S SH Y Bedside clinics, Small Viva voce
group activity
PE29.19 Counsel and educate patients about prevention and treatment of A/C SH Y Bedside clinics, Document in log book
anemia Skills lab
PE29.20 Enumerate the indications for splenectomy and precautions K K N Small group Activity Viva voce
Topic: Systemic Pediatrics-Central Nervous system Number of competencis: (23) Number of procedures that require certification:(NIL)
PE30.1
PE30 1 Discuss
Di the
th etio-pathogenesis,
ti th i clinical
li i l ffeatures
t , complications,
li ti K KH Y Lecture,
L t Small
S ll group Written/
W itt / Viva
Vi voce Microbiology
Mi bi l
management and prevention of meningitis in children discussion
PE30.2 Distinguish bacterial, viral and tuberculous meningitis K KH Y Lecture, Small group Written/ Viva voce Microbiology
discussion
PE30.3 Discuss the etio-pathogenesis, classification, clinical features, K KH Y Lecture, Small group Written/ Viva voce
complication and management of Hydrocephalus in children discussion
181
SH/P to certify
P
PE30.4 Discuss the etio-pathogenesis, classification, clinical features, and K KH Y Lecture, Small group Written/ Viva voce
management of Microcephaly in children discussion
PE30.5 Enumerate the Neural tube defects. Discuss the causes, clinical K KH Y Lecture, Small group Written/ Viva voce
features, types, and management of Neural Tube defect discussion
PE30.6 Discuss the etio-pathogenesis, clinical features, and management K KH Y Lecture, Small group Written/ Viva voce
of Infantile hemiplegia discussion
PE30.7 Discuss the etio-pathogenesis, clinical features, complications and K KH Y Lecture, Small group Written/ Viva voce
management of Febrile seizures in children discussion
PE30.8 Define epilepsy. Discuss the pathogenesis, clinical types, K KH Y Lecture, Small group Written/ Viva voce
presentation and management of Epilepsy in children discussion
PE30.9 Define status Epilepticus. Discuss the clinical presentation and K KH Y Lecture, Small group Written/ Viva voce
management discussion
Mental retardation in children discussion
children with cerebral palsy discussion
PE30.12 Enumerate the causes of floppiness in an infant and discuss the K KH Y Lecture, Small group Written/ Viva voce
clinical features, differential diagnosis and management discussion
PE30.13 Discuss the etio-pathogenesis, clinical features, management and K KH Y Lecture, Small group Written/ Viva voce Microbiology
prevention of Poliomyelitis in children discussion
Duchene muscular dystrophy discussion
Ataxia in children discussion
182
SH/P to certify
P
PE30.16 Discuss the approach to and management of a child with headache K KH Y Lecture, Small group Written/ Viva voce
discussion
PE30.17 Elicit document and present an age appropriate history pertaining to S SH Y Bedside clinics, Skill Assessment
the CNS Skills lab
PE30.18 Demonstrate the correct method for physical examination of CNS S SH Y Bedside clinics, Skills Skill Assessment
including identification of external markers. Document and present lab
clinical findings
PE30.19 Analyse symptoms and interpret physical findings and propose a S SH Y Bedside clinics, Skills Skill Assessment
provisional / differential diagnosis lab
PE30.20 Interpret and explain the findings in a CSF analysis S SH Y Small group Log book Microbiology
discussion
PE30.21 Enumerate the indication and discuss the limitations of EEG, CT, K K N Bedside clinics Log book
MRI
PE30.22 Interpret the reports of EEG, CT, MRI S SH Y Bedside clinics, Log book Radiodiagnosis
Skills lab
PE30.23 Perform in a mannequin lumbar puncture. Discuss the indications, S SH Y Bedside clinics, Skill Assessment
contraindication of the procedure Skills lab
Topic: Allergic Rhinitis , Atopic Dermatitis, Bronchial Asthma , Urticaria Angioedema

PE31.1 Describe the etio-pathogenesis, management and prevention of K KH Y Lecture, Small group Written/ Viva voce ENT
Allergic Rhinitis in Children discussion
PE31.2 Recognize the clinical signs of Allergic Rhinitis S SH Y Bedside clinics’ Skill Assessment ENT
Skill Lab
PE31.3 Describe the etio-pathogenesis, clinical features and management K KH Y Lecture Written/ Viva voce ENT
of Atopic dermatitis in Children Small group
discussion
183
SH/P to certify
P
PE31.4 Identify Atopic dermatitis and manage S SH Bedside clinics Skill Assessment Dermatology,
Skills lab Venereology &
Leprosy
PE31.5 Discuss the etio-pathogenesis, clinical types, presentations, K KH Y Lecture Written/ Viva voce
management and prevention of childhood Asthma Small group
discussion
PE31.6 Recognise symptoms and signs of Asthma S SH Y Bedside clinic, Small Skill Assessment
group activity
PE31.7 Develop a treatment plan for Asthma appropriate to clinical S SH Y Bedside clinic, Small Skill Assessment
presentation & severity group activity
PE31.8 Enumerate criteria for referral K KH Y Bedside clinic, Small Written/ Viva voce
group activity
PE31.9 Interpret CBC and CX Ray in Asthma S SH Y Bedside clinic, Small Skill Assessment
group activity
PE31.10 Enumerate the indications for PFT K K N Bedside clinic, Small Viva voce
group activity
PE31.11 Observe administration of Nebulisation S SH Y DOAP session Document in log book
PE31.12
PE31 12 Discuss the etio-pathogenesis,
etio pathogenesis clinical features and complications K KH Y Lecture,
and management of Urticaria Angioedema discussion
Topic: Chromosomal Abnormalities Number of competencies: (13) Number of procedures that require certification: (NIL)
PE32.1 Discuss the genetic basis, risk factors, complications, prenatal K KH Y Lecture, Small group Written/ Viva voce Human Anatomy
diagnosis, management and genetic counselling in Down’s discussion
Syndrome
184
SH/P to certify
P
PE32.2 Identify the clinical features of Down’s Syndrome S SH Y Bedside clinics, Skills log book General Medicine
lab
PE32.3 Interpret normal Karyotype and recognize Trisomy 21 S SH Y Bedside clinics, Skills Log book General Medicine
lab
PE32.4 Discuss the referral criteria and Multidisciplinary approach to K KH Y Lecture, Small group Written/ Viva voce
management discussion
PE32.5 Counsel parents regarding 1. Present child A/C SH N Bedside clinics, Skills Log book
2. Risk in the next pregnancy lab
PE32.6 Discuss the genetic basis, risk factors, clinical features, K KH N Lecture, Small group Written/ Viva voce General Medicine,
complications, prenatal diagnosis, management and genetic discussion Obstetrics &
counselling in Turner’s Syndrome Gynaecology
PE32.7 Identify the clinical features of Turner Syndrome S SH N Bedside clinics, Skills Log book General Medicine
lab
PE32.8 Interpret normal Karyotype and recognize the Turner Karyotype S SH N Bedside clinics, Skills log book General Medicine,
lab Obstetrics &
Gynaecology
PE32.9 Discuss the referral criteria and multidisciplinary approach to K KH N Lecture, Small group Written/ Viva voce General Medicine,
g
management y
of Turner Syndrome discussion Obstetrics &
Gynaecology
PE32.10 Counsel parents regarding 1. Present child A/C SH N Bedside clinics, Skills Log book
2. Risk in the next pregnancy lab
PE32.11 Discuss the genetic basis, risk factors, complications, prenatal K KH Y Lecture, Small group Written/ Viva voce General Medicine
diagnosis, management and genetic counselling in Klineferlter discussion
Syndrome
185
SH/P to certify
P
PE32.12 Identify the clinical features of Klineferlter Syndrome S SH N Bedside clinics, Skills Log book General Medicine
lab
PE32.13 Interpret normal Karyotype and recognize the Klineferlter Karyotype S SH N Bedside clinics, Skills Log book General Medicine
lab
Topic: Endocrinology Number of competencies: ( 11)   Number of procedures that require certification: (02)
PE33.1 Describe the etio-pathogenesis clinical features, management of K KH Y Lecture, Small group Written/ Viva voce
Hypothyroidism in children discussion
PE33.2 Recognize the clinical signs of Hypothyroidism and refer S SH Y Bedside clinics, Skill Skill Assessment
Lab
PE33.3 Interpret and explain neonatal thyroid screening report S SH Y Bedside clinics, Small Skill Assessment
group discussion
PE33.4 Discuss the etio-pathogenesis, clinical types, presentations, K KH Y Lecture, Small group Written/ Viva voce
complication and management of Diabetes mellitus in children discussions
PE33.5 Interpret Blood sugar reports and explain the diagnostic criteria for S SH Y Bedside clinic, small Skill Assessment
Type 1 Diabetes group activity
PE33.6 Perform and interpret Urine Dip Stick for Sugar S P Y DOAP session Skill Assessment 3 Biochemistry
PE33.7 Perform genital examination and recognize Ambiguous Genitalia S SH Y Bedside clinic Skill Assessment
and refer appropriately Skills lab
PE33.8 Define precocious and delayed Puberty K KH Y Lecture, Small group Written/ Viva voce
discussion
186
SH/P to certify
P
PE33.9 Perform Sexual Maturity Rating (SMR) and interpret S SH Y Bedside clinics Skill Assessment
Skills Lab
PE33.10 Recognize precocious and delayed Puberty and refer S SH Y Bedside clinics log book
Skills Lab
PE33.11 Identify deviations in growth and plan appropriate referral S P Y Bedside clinics log book 2
Skills Lab
Topic:Vaccine preventable Diseases - Tuberculosis Number of competencies: ( 20) Number of procedures that require certification: (03)
PE34.1 Discuss the epidemiology, clinical features, clinical types, K KH Y Lecture, Small group Written/ Viva voce Microbiology Respiratory Medicine
complications of Tuberculosis in Children and Adolescents discussion
PE34.2 Discuss the various diagnostic tools for childhood tuberculosis K KH Y Lecture, Small group Written/ Viva voce Microbiology Respiratory Medicine
discussion
Pharmacology
Pharmacology
PE34.5 Able to elicit, document and present history of contact with S SH Y Bedside clinics, Skill Skill Assessment Respiratory Medicine
tuberculosis in every patient encounter lab
PE34.6 Identify a BCG scar S P Y Bedside clinics, Skill Assessment 3 Microbiology Respiratory Medicine
Skills lab
PE34.7 Interpret a Mantoux test S P Y Bedside clinics Skill assessment 3 Microbiology Respiratory Medicine
Skills lab
PE34.8 Interpret a Chest Radiograph S SH Y Bedside clinics Skill assessment Radiodiagnosis Respiratory Medicine
Skills lab
187
SH/P to certify
P
PE34.9 Interpret blood tests in the context of laboratory evidence for S SH N Bedside clinics, log book Microbiology Respiratory Medicine
tuberculosis Small group
discussion
PE34.10 Discuss the various samples for demonstrating the organism e.g. K KH Y Bedside clinics, Written/ Viva voce Microbiology Respiratory Medicine
Gastric Aspirate, Sputum , CSF, FNAC Small group
discussion
PE34.11 Perform AFB staining S P Y DOAP session Log book/Journal 3 Microbiology Respiratory Medicine
PE34.12 Enumerate the indications and discuss the limitations of methods of K KH Y Small group Written/ Viva voce Microbiology Respiratory Medicine
culturing M.Tuberculii discussion
PE34.13 Enumerate the newer diagnostic tools for Tuberculosis including K K N Lecture, Small group Written/ Viva voce
BACTEC CBNAAT and their indications discussion
PE34.14 Enumerate the common causes of fever and discuss the K KH Y Lecture, Small group Written/ Viva voce Microbiology
etiopathogenesis, clinical features, complications and management discussion
of fever in children
of child with exanthematous illnesses like Measles, Mumps, Rubella
& Chicken pox
of child with Diphtheria, Pertussis, Tetanus.
of child with Typhoid
188
SH/P to certify
P
of child with Dengue, Chikungunya and other vector born diseases
of children with Common Parasitic infections
infections, malaria
malaria,
leishmaniasis, filariasis, helminthic infestations, amebiasis,
giardiasis
of child with Ricketsial diseases
Topic: The role of the physician in the community Number of competencies: (01) Number of procedures that require certification : (NIL)
PE35.1 Identify, discuss and defend medicolegal, socio-cultural and ethical K KH Y Small group Written/ Viva voce
issues as they pertain to health care in children (including parental discussion
rights and right to refuse treatment)

Column D: K – Knows, KH - Knows How, SH- Shows how, P- performs independently,
Integration
Human Anatomy
AN25.4 Describe embryological basis of: K KH Y Lecture Written/ Viva voce General Medicine, Physiology
1) atrial septal defect, 2)ventricular septal defect , 3)Fallot’s Pediatrics
tetralogy & 4) tracheo-oesophageal fistula
189
SH/P to certify
P
AN25.5 Describe developmental basis of congenital anomalies, K KH Y Lecture Written/ Viva voce General Medicine, Physiology
transposition of great vessels, dextrocardia, patent ductus Pediatrics
arteriosus and coarctation of aorta
AN25.9 Demonstrate surface marking of lines of pleural reflection, Lung K/S SH Y Practical Viva voce/ skill General Medicine, Physiology
borders and fissures, Trachea, Heart borders, Apex beat & surface assessment Pediatrics
projection of valves of heart
AN63.2 Describe anatomical basis of congenital hydrocephalus K KH N Lecture Written Pediatrics Physiology
AN64.3 Describe various types of open neural tube defects with its K KH N Lecture Written/ Viva voce Obstetrics &
embryological basis Gynaecology,
Pediatrics
AN74.1 Describe the various modes of inheritance with examples K KH Y Lecture Written General Medicine,
Pediatrics
AN74.2 Draw pedigree charts for the various types of inheritance & give K KH Y Lecture Written General Medicine,
examples of diseases of each mode of inheritance Pediatrics
AN74.4 Describe the genetic basis & clinical features of Achondroplasia, K KH N Lecture Written General Medicine,
Cystic Fibrosis, Vitamin D resistant rickets, Hemophilia, Duchene’s Pediatrics
muscular dystrophy & Sickle cell anaemia
AN75.1 Describe the structural and numerical chromosomal aberrations K KH Y Lecture Written Pediatrics
AN75.2 Explain the terms mosaics and chimeras with example K KH N Lecture Written Pediatrics
AN75.3 Describe the genetic basis & clinical features of Prader Willi K KH N Lecture Written Pediatrics
syndrome, Edward syndrome & Patau syndrome
AN75.4 Describe genetic basis of variation; polymorphism and mutation K KH Y Lecture Written Pediatrics
190
SH/P to certify
P
AN75.5 Describe the principles of genetic counselling K KH Y Lecture Written Pediatrics, Obstetrics
& Gynaecology
Physiology
PY11.6 Describe physiology of Infancy K KH N Lecture, Small group Written/ Viva voce Pediatrics
discussion
PY11.9 Interpret growth charts K KH Y Small group teaching Practical/OSPE/ Viva Pediatrics
voce
PY11.10 Interpret anthropometric assessment of infants K KH Y Small group teaching Practical/OSPE/Viva Pediatrics
voce
Biochemistry
BI5.3 Describe the digestion and absorption of dietary proteins K KH Y Lecture, Small group Written/ Viva voce Pediatrics
discussion
BI5.4 Describe common disorders associated with protein metabolism K KH Y Lecture, Small group Written/ Viva voce Pediatrics
discussion
BI7.3 Describe gene mutations and basic mechanism of regulation of K KH Y Lecture, Small group Written/ Viva voce Pediatrics
gene expression discussion
BI7.4
BI7 4 Describe applications of recombinant DNA technology
technology, PCR in the K KH Y Lecture,
Lecture Small group Written/ Viva voce Pediatrics,
Pediatrics General
diagnosis and treatment of diseases with genetic basis discussion Medicine
BI8.1 Discuss the importance of various dietary components and explain K KH Y Lecture, Small group Written/ Viva voce General Medicine,
importance of dietary fibre discussion Pediatrics, Pathology
BI8.2 Describe the types and causes of protein energy malnutrition and its K KH Y Lecture, Small group Written/ Viva voce General Medicine,
effects discussion Pediatrics, Pathology
191
SH/P to certify
P
BI8.5 Summarize the nutritional importance of commonly used items of K KH Y Lecture , Small group Written/ Viva voce Community Medicine,
food including fruits and vegetables. (macro-molecules & its discussion General Medicine,
BI10.5 Describe antigens and concepts involved in vaccine development K KH Y Lecture , Small group Written/ Viva voce Pathology, Pediatrics,
Pathology
PA12.2 Describe the pathogenesis of disorders caused by protein calorie K KH Y Lecture, Small group Written/ Viva voce Biochemistry,
malnutrition and starvation discussion Pediatrics
PA21.2 Classify and describe the etiology, pathogenesis and pathology of K KH Y Lecture, Small group Written/ Viva voce Pediatrics
vascular and platelet disorders including ITP and hemophilias discussion
PA28.12 Define, classify and describe the genetics, inheritance etiology, K KH Y Lecture, Small group Written/ Viva voce General Medicine,
pathogenesis, pathology, laboratory, urinary findings, distinguishing discussion Pediatrics
features, progression and complications of cystic disease of the
kidney
PA28.14 Classify and describe the etiology, genetics, pathogenesis, K KH Y Lecture, Small group Written/ Viva voce Pediatrics
pathology, presenting features, progression and spread of renal discussion
tumors
PA31.4
PA31 4 Enumerate and describe the etiology
etiology, hormonal dependency and K KH N Lecture,
Lecture Small group Written/ Viva voce Pediatrics,
Pediatrics General
pathogenesis of gynecomastia discussion Medicine
PA35.2 Classify and describe the etiology, genetics, pathogenesis, K KH Y Lecture, Small group Written/ Viva voce Pediatrics
pathology, presentation sequelae and complications of CNS tumors discussion
Microbiology
192
SH/P to certify
P
MI1.8 Describe the mechanisms of immunity and response of the host K KH Y Lecture Written/ Viva voce Pediatrics Pathology
immune system to infections
MI1.9 Discuss the immunological basis of vaccines and describe the K KH Y Lecture Written/ Viva voce Paediatrics
Universal Immunisation schedule
MI1.10 Describe the immunological mechanisms in immunological disorder K KH Y Lecture Written/ Viva voce Paediatrics
(hypersensitivity, autoimmune disorders and immunodeficiency
states) and discuss the laboratory methods used in detection
MI3.1 Enumerate the microbial agents causing diarrhea and dysentery. K KH Y Lecture, Small group Written/ Viva voce General Medicine, Pathology
Describe the epidemiology, morphology, pathogenesis, clinical discussion Paediatrics
features, and diagnostic modalities of these agents
MI3.2 Identify the common etiologic agents of diarrhea and dysentery S SH Y DOAP session Skill assessment General Medicine,
Paediatrics
laboratory diagnosis of meningitis Paediatrics
laboratory diagnosis of encephalitis Paediatrics
MI5.3 Identify the microbial agents causing meningitis S SH Y DOAP session Skill assessment General Medicine,
Paediatrics
P di t i
Pharmacology
PH1.12 Calculate the dosage of drugs using appropriate formulae for an K/S SH Y Lecture, practical Written/ Viva voce Pediatrics, General
individual patient, including children, elderly and patient with renal Medicine
dysfunction
193
SH/P to certify
P
PH1.43 Describe and discuss the rational use of antimicrobials including K KH Y Lecture Written/ Viva voce General Medicine Microbiology
antibiotic stewardship program Pediatrics
PH1.56 Describe basic aspects of Geriatric and Pediatric pharmacology K KH Y Lecture Written/ Viva voce Pediatrics
PH2 4
PH2.4 Demonstrate the correct method of calculation of drug dosage in S SH Y DOAP sessions Skills assessment Pharmacology
Pharmacology,
patients including those used in special situations General Medicine
Community Medicine
CM3.3 Describe the aetiology and basis of water borne diseases K KH Y Lecture, Small group Written/ Viva voce Microbiology, General
/jaundice/hepatitis/ diarrheal diseases discussion, DOAP Medicine, Pediatrics
session
CM5.1 Describe the common sources of various nutrients and special K KH Y Lecture, Small group Written/ Viva voce General Medicine,
conditions
CM5.2 Describe and demonstrate the correct method of performing a nutritional S SH Y DOAP session Skill Assessment General Medicine,
assessment of individuals, families and the community by using the Pediatrics
appropriate method
CM5.3 Define and describe common nutrition related health disorders (including K KH Y Lecture, Small group Written/ Viva voce General Medicine,
macro-PEM, Micro-iron, Zn, iodine, Vit. A), their control and management. discussion Pediatrics
CM5.4 Plan and recommend a suitable diet for the individuals and families based S SH Y DOAP session Skill Assessment General Medicine,
on local availability of foods and economic status, etc in a simulated Pediatrics
environment
194
SH/P to certify
P
CM5.5 Describe the methods of nutritional surveillance, principles of K KH Y Lecture, Small group Written/ Viva voce General Medicine,
cultural factors
CM5.6 Enumerate and discuss the National Nutrition Policy, important K KH Y Lecture, Small group Written/ Viva voce Pediatrics
national nutritional Programs including the Integrated Child discussion
Development Services Scheme (ICDS) etc
CM5.8 Describe and discuss the importance and methods of food K KH Y Lecture, Small group Written/ Viva voce Pediatrics
fortification and effects of additives and adulteration discussion
CM6.1 Formulate a research question for a study K KH Y Small group, Lecture, Written/ Viva voce/ Skill General Medicine,
DOAP session Assessment Pediatrics
CM6.2 Describe and discuss the principles and demonstrate the methods of S SH Y Small group discussion, Written/ Viva voce/ Skill General Medicine,
collection, classification, analysis, interpretation and presentation of Lecture, DOAP session Assessment Pediatrics
statistical data
CM6.3 Describe, discuss and demonstrate the application of elementary statistical S SH Y Small group discussion, Written/ Viva voce/ Skill General Medicine,
methods including test of significance in various study designs Lecture, DOAP session Assessment Pediatrics
CM6.4 Enumerate, discuss and demonstrate common sampling techniques, S SH Y Small group discussion, Written/ Viva voce/ Skill General Medicine,
simple statistical methods, frequency distribution, measures of central Lecture, DOAP session Assessment Pediatrics
tendency and dispersion
CM8.1
CM8 1 Describe and discuss the epidemiological and control measures K KH Y Small group Written/ Viva voce General Medicine,
Medicine Microbiology,
Microbiology
CM8.3 Enumerate and describe disease specific National Health Programs K KH Y Small group Written/ Viva voce General Medicine,
CM8.4 Describe the principles and enumerate the measures to control a K KH Y Small group Written/ Viva voce General Medicine,
195
SH/P to certify
P
CM9.2 Define, calculate and interpret demographic indices including birth rate, S SH Y Lecture, Small group Skill assessment Obstetrics &
death rate,
rate fertility rates discussion
discussion, DOAP G l
Gynaecology,
sessions Pediatrics
CM10.1 Describe the current status of Reproductive, maternal, newborn and Child K KH Y Small group discussion, Written/ Viva voce Obstetrics &
Health Lecture Gynaecology,
Pediatrics
CM10.2 Enumerate and describe the methods of screening high risk groups and K KH Y Small group discussion, Written/ Viva voce Obstetrics &
common health problems Lecture Gynaecology,
Pediatrics
CM10.3 Describe local customs and practices during pregnancy, childbirth, lactation K KH Y Small group discussion, Written/ Viva voce Obstetrics &
and child feeding practices Lecture Gynaecology,
Pediatrics
CM10.4 Describe the reproductive, maternal, newborn & child health K KH Y Small group Written/ Viva voce Obstetrics &
(RMCH); child survival and safe motherhood interventions discussion, Lecture Gynaecology,
Pediatrics
CM10.5
CM10 5 Describe
D ib UUniversal
i l IImmunization
i ti P Program; IIntegrated
t t dMManagementt K KH Y Small
S ll group Written/
W itt / Viva
Vi voce Pediatrics
P di t i
of Neonatal and Childhood Illness (IMNCI) and other existing discussion, Lecture
Programs
196
SH/P to certify
P
FM1.9 Describe the importance of documentation in medical practice in K KH Y Lecture, Small group Written/ Viva voce Radiodiagnosis,
regard to medicolegal examinations, Medical Certificates and discussion General Surgery,
medicolegal reports especially General Medicine,
– maintenance of patient case records, discharge summary, Paediatrics
prescribed registers to be maintained in Health Centres.
-- maintenance of medico-legal register like accident register.
-- documents of issuance of wound certificate
-- documents of issuance of drunkenness certificate
certificate.
-- documents of issuance of sickness and fitness certificate.
-- documents for issuance of death certificate.
-- documents of Medical Certification of Cause of Death - Form
Number 4 and 4A
-- documents for estimation of age by physical, dental and
radiological examination and issuance of certificate
FM2.27 Define and discuss infanticide, foeticide and stillbirth K KH Y Lecture, Small group Written/ Viva voce Pediatrics
discussions
FM2.28 Describe and discuss signs of intrauterine death, signs of live birth, K KH Y Lecture, Small group Written/ Viva voce/ OSCE Pediatrics, Human
viability of foetus, age determination of foetus, DOAP session of discussions, Autopsy, Anatomy
ossification centres, Hydrostatic test, Sudden infants death DOAP session
syndrome and Munchausen’s syndrome by proxy
FM3.29 Describe and discuss child abuse and battered baby syndrome K K/KH Y Lecture, Small group Written/ Viva voce Pediatrics
discussion
DR5.1 Describe the etiology, microbiology, pathogenesis, natural history, K KH Y Lecture, Small group Written/ Viva voce Pediatrics
clinical features, presentations and complications of scabies discussion
DR5.2 Identify and differentiate scabies from other lesions S SH Y Bedside clinic Skill assessment Pediatrics
197
SH/P to certify
P
DR5.3 Enumerate and describe the pharmacology, administration and K KH Y Lecture, Small group Written/ Viva voce Pediatrics Pharmacology
adverse reaction of pharmacotherapies for scabies discussion
DR6.1 Describe the etiology, pathogenesis and diagnostic features of K KH Y Lecture, Small group Written/ Viva voce Pediatrics Microbiology
pediculosis discussion
DR6.2 Identify and differentiate pediculosis from other skin lesions S SH Y Bedside clinic Skill assessment Pediatrics
DR7.1 Describe the etiology, microbiology, pathogenesis, clinical K KH Y Lecture, Small group Written/ Viva voce Pediatrics Microbiology
presentations and diagnostic features of dermatophytes discussion
DR8.1 Describe the etiology, microbiology, pathogenesis, clinical K KH Y Lecture, Small group Written/ Viva voce Pediatrics Microbiology
presentations and diagnostic features of common viral infections of discussion
the skin
DR17.1 Enumerate and identify the cutaneous findings in vitamin A K/S SH Y Lecture, Small group Skill assessment/ Viva General Medicine,
deficiency discussion, Bedside voce Pediatrics,
clinic Biochemistry
DR17.2 Enumerate and describe the various skin changes in Vitamin B K KH Y Lecture Written/ Viva voce General Medicine,
complex deficiency Pediatrics,
Biochemistry
DR17.3 Enumerate and describe the various changes in Vitamin C K KH Y Lecture Written/ Viva voce General Medicine,
deficiency Pediatrics,
Biochemistry
DR17.4 Enumerate and describe the various changes in Zinc deficiency K KH Y Lecture, Small group Written/ Viva voce General Medicine,
discussion Pediatrics,
Biochemistry
Anesthesiology
198
SH/P to certify
P
AS2.1 Enumerate the indications, describe the steps and demonstrate in a S SH N DOAP session Skill assessment General Medicine,
simulated environment basic life support in adults children and Pediatrics
neonates
Psychiatry
PS14.1 Enumerate and describe the magnitude and etiology of psychiatric K KH Y Lecture, Small group Written/ Viva voce Pediatrics
disorders occurring in childhood and adolescence discussion
PS14.2 Enumerate, elicit, describe and document clinical features in S SH Y Bedside clinic, DOAP Skill assessment Pediatrics
patients with psychiatric disorders occurring in childhood and session
adolescence
PS14.3 Describe the treatment of stress related disorders including K KH Y Lecture, Small group Written/ Viva voce Pediatrics
PS14.4 Demonstrate family education in a patient with psychiatric disorders S SH Y Bedside clinic, DOAP Skill assessment Pediatrics
occurring in childhood and adolescence in a simulated environment session
PS14.5 Enumerate and describe the pharmacologic basis and side effects K KH Y Lecture, Small group Written/ Viva voce Pediatrics
of drugs used in psychiatric disorders occurring in childhood and discussion
adolescence
PS15.1 Describe the aetiology and magnitude of mental retardation K KH Y Lecture, Small group Written/ Viva voce Pediatrics
discussion
PS15.2 Describe and discuss intelligence quotient and its measurement K KH Y Lecture, Small group Written/ Viva voce Pediatrics
discussion
PS15.3 Elicit and document a history and clinical examination and choose K/S SH Y Bedside clinic, DOAP Skill assessment Pediatrics
appropriate investigations in a patient with mental retardation session
PS15.4 Describe the psychosocial interventions and treatment used in K KH Y Lecture, Small group Written/ Viva voce Pediatrics
mental retardation discussion
199
SH/P to certify
P
General Medicine
IM23.1 Discuss and describe the methods of nutritional assessment in an K KH Y Lecture, Small group Written/ Viva voce Physiology, Pediatrics
adult and calculation of caloric requirements during illnesses discussions Biochemistry
IM23.2 Discuss and describe the causes and consequences of protein K KH Y Lecture, Small group Written/ Viva voce Physiology, Pediatrics
caloric malnutrition in the hospital discussions Biochemistry
IM23.3 Discuss and describe the aetiology, causes, clinical manifestations, K KH Y Lecture, Small group Written/ Viva voce Physiology, Pediatrics
complications, diagnosis and management of common vitamin discussion Biochemistry
deficiencies
IM23.4 Enumerate the indications for enteral and parenteral nutrition in K KH Y Lecture, Small group Written/ Viva voce Physiology, Pediatrics
critically ill patients discussion Biochemistry
Obstetrics & Gynocology
OG1.2 Define and discuss perinatal mortality and morbidity including K KH Y Lecture, Small group Short notes Community Medicine Pediatrics
perinatal and neonatal mortality and morbidity audit discussion
OG18.1 Describe and discuss the assessment of maturity of the newborn, K KH Y Lecture, Small group Written/ Viva voce Pediatrics
diagnosis of birth asphyxia, principles of resuscitation, common discussion
problems
OG18.2 Demonstrate the steps of neonatal resuscitation in a simulated S SH Y DOAP session Skill assessment Pediatrics
environment
OG18.3 Describe and discuss the diagnosis of birth asphyxia K KH Y Lecture, Small group Written/ Viva voce Pediatrics
discussion
OG18.4 Describe the principles of resuscitation of the newborn and K KH Y Lecture, Small group Written/ Viva voce Pediatrics
enumerate the common problems encountered discussion
200
SH/P to certify
P
Physical Medicine & Rehabilitation
PM3.1 Describe and discuss the clinical features, types, evaluation, K KH Y Lecture, Small group Written/ Viva voce Human Anatomy Pediatrics
diagnosis and management of cerebral palsy discussion
PM3.2 Recognize, describe and discuss the spectrum of multiple disability : K KH Y Lecture, Small group Written/ Viva voce Pediatrics
cognitive,
g motor, visual and hearing
g in cerebral p
palsyy discussion
PM3.3 Recognize, describe and discuss the role of special education in K K Y Lecture, Small group Written/ Viva voce Pediatrics
children with learning disabilities discussion
PM3.4 Demonstrate spasticity, rigidity and dystonia in children with S SH Y DOAP session, Small Skill assessment Pediatrics
cerebral palsy group discussion,
Bedside clinic
PM3.5 Enumerate the indications and describe the therapies for spasticity K KH Y Lecture, Small group Pharmacology Pediatrics,
including medications, serial casts, nerve blocks, botulinum toxin discussion Orthopedics
injections
PM3.6 Enumerate the indications and describe prevention of joint K KH Y DOAP session, Small Pediatrics
subluxations and contractures by proper positioning, and use of group discussion,
special chairs, and appliances Bedside clinic
PM3.7 Enumerate the first aid measures to be used in patients with K K Y Lecture, Small group Written/ Viva voce Pediatrics
seizures discussion
PM4.2
PM4 2 Describe and discuss the principles of management of chronic pain K KH Y Lecture,
Lecture Small group Written/ Viva voce Pediatrics
and role of common modalities (moist heat, ultrasound, Short wave discussion
diathermy)
201
PSYCHIATRY (CODE: PS)
Number COMPETENCY Domain Level Core Suggested Teaching Suggested Number Vertical integration Horizontal
The student should be able to K/S/A/C K/KH/ (Y/N) Learning method Assessment method required Integration
SH/P to certify
P
PSYCHIATRY
Topic: Doctor patient relationship Number of competencies: (04)   Number of procedures that require certification: (NIL)
PS1.1 Establish rapport and empathy with patients A/C SH Y DOAP session Skill station
PS1.2 Describe the components of communication K KH Y Lecture, Small group Written/ Viva voce
discussion
PS1.3 Demonstrate breaking of bad news in a simulated environment A/C SH Y DOAP session Skill station
PS1.4 Describe and demonstrate the importance of confidentiality in A/C SH Y DOAP session Faculty observation
patient encounters
Topic: Mental health Number of competencies: (05) Number of procedures that require certification:(NIL)
PS2.1 Define stress and describe its components and causes K K Y Lecture, Small group Written/ Viva voce
discussion
PS2.2 Describe the role of time management, study skills, balanced diet K KH Y Lecture, Small group Viva voce
and sleep wake habits in stress avoidance discussion
PS2.3 Define and describe the principles and components of learning K K Y Lecture, Small group Written/ Viva voce
memory and emotions discussion
PS2.4 Describe the principles of personality development and motivation K K Y Lecture, Small group Written/ Viva voce
discussion
PS2.5 Define and distinguish normality and abnormality K K Y Lecture, Small group Viva voce
discussion
Topic: Introduction to psychiatry Number of competencies: (12) Number of procedures that require certification: (NIL)
PS3.1 Describe the growth of psychiatry as a medical specialty, its history K KH Y Lecture Written/ Viva voce
and contribution to society
203
SH/P to certify
P
PS3.2 Enumerate, describe and discuss important signs & symptoms of K KH Y Lecture, Small group Written/ Viva voce
common mental disorders discussion
PS3.3 Elicit, present and document a history in patients presenting with a S SH Y Bedside clinic, DOAP Skill assessment
mental disorder session
PS3.4 Describe the importance of establishing rapport with patients S/A SH Y Bedside clinic, DOAP Skill assessment/
session Faculty observation
PS3.5 Perform, demonstrate and document a minimental examination S SH Y Bedside clinic, DOAP Skill assessment
session
PS3.6 Describe and discuss biological, psychological & social factors & K KH Y Lecture, Small group Written/ Viva voce
their interactions in the causation of mental disorders discussion
PS3.7 Enumerate and describe common organic psychiatric disorders, K KH Y Lecture, Small group Written/ Viva voce General Medicine
magnitude, etiology and clinical features discussion
PS3.8 Enumerate and describe the essential investigations in patients with K KH Y Lecture, Small group Written/ Viva voce General Medicine
organic psychiatric disorders discussion
PS3.9 Describe the steps and demonstrate in a simulated environment S SH Y Bedside clinic, DOAP Skill assessment
family education in patients with organic psychiatric disorders session
PS3.10 Enumerate and describe the pharmacologic basis and side effects K KH Lecture, Small group Written/ Viva voce
of drugs used in psychiatric disorders Y discussion
PS3.11 Enumerate the appropriate conditions for specialist referral in K K Y Lecture, Small group Written/ Viva voce
patients with psychiatric disorders discussion
PS3.12
PS3 12 Describe,
Describe discuss and distinguish psychotic & non
non-psychotic
psychotic K KH Y Lecture,
(Mood, Anxiety, Stress related) disorders discussion
Topic: Psychotic disorders Number of competencies: (07)   Number of procedures that require certification: (NIL)
PS4.1 Describe the magnitude and etiology of alcohol and substance use K KH Y Lecture, Small group Written/ Viva voce General Medicine
PS4.2 Elicit, describe and document clinical features of alcohol and S SH Y Bedside clinic, DOAP Skill assessment General Medicine
substance use disorders session
204
SH/P to certify
P
other tests used in alcohol and substance abuse disorders session
PS4.4 Describe the treatment of alcohol and substance abuse disorders K KH Y Lecture, Small group Written/ Viva voce Pharmacology General Medicine
including behavioural and pharmacologic therapy discussion
PS4.5 Demonstrate family education in a patient with alcohol and S SH Y Bedside clinic, DOAP Skill assessment AETCOM
substance abuse in a simulated environment session
of drugs used in alcohol and substance abuse discussion
patients with alcohol and substance abuse disorders discussion
Topic: Psychotic disorders Number of competencies: (06)   Number of procedures that require certification: (NIL)
PS5.1 Classify and describe the magnitude and etiology of schizophrenia K KH Y Lecture, Small group Written/ Viva voce
& other psychotic disorders discussion
PS5.2 Enumerate, elicit, describe and document clinical features, positive sy S SH Y Bedside clinic, DOAP Skill assessment
session
PS5.3 Describe the treatment of schizophrenia including behavioural and K KH Y Lecture, Small group Written/ Viva voce Pharmacology
pharmacologic therapy discussion
PS5.4 Demonstrate family education in a patient with schizophrenia in a K/S/A/C SH Y Bedside clinic, DOAP Skill assessment
simulated environment session
PS5.5 Enumerate and describe the pharmacologic basis and side effects K KH Y Lecture, Small group Written/ Viva voce Pharmacology
of drugs used in schizophrenia discussion
patients with psychotic disorders discussion
Topic: Depression Number of competencies: (07)   Number of procedures that require certification: (NIL)
205
SH/P to certify
P
PS6.1 Classify and describe the magnitude and etiology of depression K KH Y Lecture, Small group Written/ Viva voce
discussion
PS6.2 Enumerate, elicit, describe and document clinical features in S SH Y Bedside clinic, DOAP Skill assessment
patients with depression session
PS6.3 Enumerate and describe the indications and interpret laboratory and S SH Y Bedside clinic, DOAP Skill assessment
other tests used in depression session
PS6.4 Describe the treatment of depression including behavioural and K KH Y Lecture, Small group Written/ Viva voce Pharmacology
pharmacologic therapy discussion
PS6.5 Demonstrate family education in a patient with depression in a S SH Y Bedside clinic, DOAP Skill assessment
of drugs used in depression discussion
patients with depression discussion
Topic: Bipolar disorders Number of competencies: (07)   Number of procedures that require certification: (NIL)
PS7.1 Classify and describe the magnitude and etiology of bipolar K KH Y Lecture, Small group Written/ Viva voce
patients with bipolar disorders session
other
th tests
t t used
d iin bi
bipolar
l didisorders
d session
i
PS7.4 Describe the treatment of bipolar disorders including behavioural K KH Y Lecture, Small group Written/ Viva voce Pharmacology
and pharmacologic therapy discussion
PS7.5 Demonstrate family education in a patient with bipolar disorders in a S SH Y Bedside clinic, DOAP Skill assessment
of drugs used in bipolar disorders discussion
206
SH/P to certify
P
patients with bipolar disorders discussion
Topic: Anxiety disorders Number of competencies: (07)   Number of procedures that require certification: (NIL)
PS8.1 Enumerate and describe the magnitude and etiology of anxiety K KH Y Lecture, Small group Written/ Viva voce
patients with anxiety disorders session
other tests used in anxiety disorders session
PS8.4 Describe the treatment of anxiety disorders including behavioural K KH Y Lecture, Small group Written/ Viva voce Pharmacology
and pharmacologic therapy discussion
PS8.5 Demonstrate family education in a patient with anxiety disorders in a S SH Y Bedside clinic, DOAP Skill assessment
of drugs used in anxiety disorders discussion
anxiety disorders discussion
Topic: Stress related disorders Number of competencies: (07)   Number of procedures that require certification: (NIL)
PS9.1 Enumerate and describe the magnitude and etiology of stress K KH Y Lecture, Small group Written/ Viva voce
related disorders discussion
PS9.2
PS9 2 Enumerate,
Enumerate elicit,
elicit describe and document clinical features in S SH Y Bedside clinic,
clinic DOAP Skill assessment
patients with stress related disorders session
other tests used in stress related disorders session
PS9.4 Describe the treatment of stress related disorders including K KH Y Lecture, Small group Written/ Viva voce
behavioural and psychosocial therapy discussion
PS9.5 Demonstrate family education in a patient with stress related S SH Y Bedside clinic, DOAP Skill assessment
disorders in a simulated environment session
207
SH/P to certify
P
PS9.6 Enumerate and describe the pharmacologic basis and side effects K KH Y Lecture, Small group Written/ Viva voce
of drugs used in stress related disorders discussion
PS9.7 Enumerate the appropriate conditions for specialist referral in stress K K Y Lecture, Small group Written/ Viva voce
Topic: Somatoform disorders Number of competencies: (07)   Number of procedures that require certification: (NIL)
PS10.1 Enumerate and describe the magnitude and etiology of somatoform, K KH Y Lecture, Small group Written/ Viva voce General Medicine
dissociative and conversion disorders discussion
patients with somatoform, dissociative and conversion disorders session
other tests used in somatoform, dissociative and conversion session
disorders
PS10.4 Describe the treatment of somatoform disorders including K KH Y Lecture, Small group Written/ Viva voce Pharmacology General Medicine
PS10.5 Demonstrate family education in a patient with somatoform, S SH Y Bedside clinic, DOAP Skill assessment
dissociative and conversion disorders in a simulated environment session
of drugs used in somatoform, dissociative and conversion disorders discussion
patients with somato form dissociative and conversion disorders discussion
Topic: Personality disorders Number of competencies: (07)   Number of procedures that require certification: (NIL)
PS11.1 Enumerate and describe the magnitude and etiology of personality K KH Y Lecture, Small group Written/ Viva voce
patients with personality disorders session
208
SH/P to certify
P
other tests used in personality disorders session
PS11.4 Describe the treatment of personality disorders including K KH Y Lecture, Small group Written/ Viva voce Pharmacology
PS11.5 Demonstrate family education in a patient with personality disorders S/A/C SH Y Bedside clinic, DOAP Skill assessment
in a simulated environment session
of drugs used in personality disorders discussion
PS11.7 Enumerate the appropriate conditions for specialist referral K K Y Lecture, Small group Written/ Viva voce
discussion
Topic: Psychosomatic disorders Number of competencies: (07)   Number of procedures that require certification: (NIL)
PS12.1 Enumerate and describe the magnitude and etiology of K KH Y Lecture, Small group Written/ Viva voce General Medicine
psychosomatic disorders discussion
patients with magnitude and etiology of psychosomatic disorders session
other tests of psychosomatic disorders session
PS12.4 Describe the treatment of psychosomatic disorders including K KH Y Lecture, Small group Written/ Viva voce Pharmacology General Medicine
behavioural,, psychosocial
p y p g therapy
and pharmacologic py discussion
PS12.5 Demonstrate family education in a patient with psychosomatic S SH Y Bedside clinic, DOAP Skill assessment
disorders in a simulated environment session
of drugs used in psychosomatic disorders discussion
discussion
209
SH/P to certify
P
Topic: Psychosexual and gender identity disorders Number of competencies: (07)   Number of procedures that require certification: (NIL)
PS13.1 Enumerate and describe the magnitude and etiology of K KH Y Lecture, Small group Written/ Viva voce
psychosexual and gender identity disorders discussion
patients with magnitude and etiology of psychosexual and gender session
identity disorders
other tests used in psychosexual and gender identity disorders session
PS13.4 Describe the treatment of psychosexual and gender identity K KH Y Lecture, Small group Written/ Viva voce Pharmacology
disorders including behavioural, psychosocial and pharmacologic discussion
therapy
PS13.5 Demonstrate family education in a patient with psychosexual and S SH Y Bedside clinic, DOAP Skill assessment
gender identity disorders in a simulated environment session
PS13.6 Enumerate and describe the pharmacologic basis and side effects K KH Y Lecture, Small group Written/ Viva voce
of drugs used in psychosexual and gender identity disorders discussion
discussion
Topic: Psychiatric disorders in childhood and adolescence Number of competencies: (06)  Number of procedures that require certification: (NIL)
PS14.1 Enumerate and describe the magnitude and etiology of psychiatric K KH Y Lecture, Small group Written/ Viva voce Pediatrics
disorders occurring in childhood and adolescence discussion
PS14.2 Enumerate, elicit, describe and document clinical features in S SH Y Bedside clinic, DOAP Skill assessment Pediatrics
patients with psychiatric disorders occurring in childhood and session
adolescence
210
SH/P to certify
P
PS14.3 Describe the treatment of stress related disorders including K KH Y Lecture, Small group Written/ Viva voce Pediatrics
PS14.4 Demonstrate family education in a patient with psychiatric disorders S SH Y Bedside clinic, DOAP Skill assessment Pediatrics
occurring in childhood and adolescence in a simulated environment session
PS14.5 Enumerate and describe the pharmacologic basis and side effects K KH Y Lecture, Small group Written/ Viva voce Pediatrics
of drugs used in psychiatric disorders occurring in childhood and discussion
adolescence
children and adolescents with psychiatric disorders discussion
Topic: Mental retardation Number of competencies: (04 )   Number of procedures that require certification: (NIL)
PS15.1 Describe the aetiology and magnitude of mental retardation K KH Y Lecture, Small group Written/ Viva voce Pediatrics
discussion
PS15.2 Describe and discuss intelligence quotient and its measurement K KH Y Lecture, Small group Written/ Viva voce Pediatrics
discussion
PS15.3 Elicit and document a history and clinical examination and choose K/S SH Y Bedside clinic, DOAP Skill assessment Pediatrics
appropriate investigations in a patient with mental retardation session
PS15.4 Describe the psychosocial interventions and treatment used in K KH Y Lecture, Small group Written/ Viva voce Pediatrics
mental retardation discussion
p Psychiatric
Topic: y y
disorders in the elderly p
Number of competencies: ( )
(05) p
Number of procedures q
that require ( )
certification: (NIL)
PS16.1 Enumerate and describe common psychiatric disorders in the K KH Y Lecture, Small group Written/ Viva voce General Medicine
elderly including dementia, depression and psychosis discussion
PS16.2 Describe the aetiology and magnitude of psychiatric illness in the K KH Y Lecture, Small group Written/ Viva voce General Medicine
elderly discussion
PS16.3 Describe the therapy of psychiatric illness in elderly including K KH Y Lecture, Small group Written/ Viva voce General Medicine
psychosocial and behavioural therapy discussion
211
SH/P to certify
P
PS16.4 Demonstrate family education in a patient with psychiatric disorders S SH Y Bedside clinic, DOAP Skill assessment General Medicine
occurring in the elderly in a simulated environment session
psychiatric disorders in the elderly discussion
Topic: Psychiatric emergencies Number of competencies: (03) Number of procedures that require certification: (NIL)
PS17.1 Enumerate and describe the recognition and clinical presentation of K KH Y Lecture, Small group Written/ Viva voce
psychiatric emergencies (Suicide, Deliberate Self Harm, Violent discussion
behaviour)
PS17.2 Describe the initial stabilisation and management of psychiatric K KH Y Lecture, Small group Written/ Viva voce
emergencies discussion
patients with psychiatric emergencies discussion
Topic: Therapeutics Number of competencies: (03 ) Number of procedures that require certification: (NIL)
PS18.1 Enumerate the indications and describe the pharmacology, dose K KH Y Lecture, Small group Written/ Viva voce Pharamcology
and side effects of commonly use drugs in psychiatric disorders discussion
PS18.2 Enumerate the indications for modified electroconvulsive therapy K K Y Lecture, Small group Written/ Viva voce
discussion
PS18.3 Enumerate and describe the principles and role of psychosocial K KH Y Lecture, Small group Written/ Viva voce
interventions in psychiatric illness including psychotherapy, discussion
behavioural therapy and rehabilitation
Topic: Miscellaneous Number of competencies: (06)  Number of procedures that require certification: (NIL)
PS19.1 Describe the relevance, role and status of community psychiatry K KH Y Lecture, Small group Written/ Viva voce Community Medicine
discussion
212
SH/P to certify
P
PS19.2 Describe the objectives strategies and contents of the National Menta K KH Y Lecture, Small group Written/ Viva voce Community Medicine
discussion
PS19.3 Describe and discuss the basic legal and ethical issues in K KH Y Lecture, Small group Written/ Viva voce Forensic Medicine &
psychiatry discussion Toxicology,
AETCOM
PS19.4 Enumerate and describe the salient features of the prevalent mental K KH Y Lecture, Small group Written/ Viva voce Community Medicine
health laws in India discussion
PS19 5
PS19.5 Describe the concept and principles of preventive psychiatry and K KH Y Lecture Small group
Lecture, Written/ Viva voce Community Medicine
mental health promotion (positive mental health); and community discussion
education
PS19.6 Enumerate and describe the identifying features and the principles K KH Y Lecture, Small group Written/ Viva voce
of participatory management of mental illness occurring during and discussion
after disasters

Integration
Physiology
PY10.7 Describe and discuss functions of cerebral cortex, basal ganglia, K KH Y Lecture, Small group Written/Viva voce Psychiatry Human Anatomy
thalamus, hypothalamus, cerebellum and limbic system and their discussion
abnormalities
PY10.8 Describe and discuss behavioural and EEG characteristics during K KH Y Lecture, Small group Written/Viva voce Psychiatry
sleep and mechanism responsible for its production discussion
PY10.9 Describe and discuss the physiological basis of memory, learning K KH Y Lecture, Small group Written/Viva voce Psychiatry
and speech discussion
PY10.12 Identify normal EEG forms S S Y Small group teaching OSPE/Viva voce Psychiatry
Pharmacology
213
SH/P to certify
P
PH1.19 Describe the mechanism/s of action, types, doses, side effects, K KH Y Lecture Written/ Viva voce Psychiatry, Physiology
indications and contraindications of the drugs which act on CNS,
(including anxiolytics, sedatives & hypnotics, antipsychotic,
antidepressant drugs, antimaniacs, opioid agonists and
antagonists, drugs used for neurodegenerative disorders,
antiepileptics drugs)
PH1.20 Describe the effects of acute and chronic ethanol intake. Describe K KH Y Lecture, Small group Written/ Viva voce Psychiatry
the symptoms and management of methanol and ethanol discussions
poisonings
PH1.22 Describe drugs of abuse (dependence, addiction, stimulants, K KH Y Lecture, Small group Written/Viva voce Psychiatry Forensic Medicine
depressants, psychedelics, drugs used for criminal offences) discussions
PH1.23 Describe the process and mechanism of drug deaddiction K/ S KH Y Lecture, Small group Written/Viva voce Psychiatry
discussions
PH5.5 Demonstrate an understanding of the caution in prescribing drugs K KH Y Small group Short note/Viva voce Psychiatry
likely to produce dependence and recommend the line of discussion
management
PH5.6 Demonstrate ability to educate public & patients about various A/C SH Y Small group Skill station Psychiatry
aspects of drug use including drug dependence and OTC drugs. discussion
Community Medicine
CM15.1 Define and describe the concept of mental Health K KH Y Lecture, Small group Written/ Viva voce Psychiatry
discussion
CM15.2 Describe warning signals of mental health disorder K KH Y Lecture, Small group Written/ Viva voce Psychiatry
discussion
CM15.3 Describe National Mental Health program K KH Y Lecture, Small group Written/ Viva voce Psychiatry
discussion
214
SH/P to certify
P
FM3.17 Describe and discuss the sexual perversions fetichism, K K/KH Y Lecture, Small group Written/ Viva voce Obstetrics &
transvestism, voyeurism, sadism, necrophagia, masochism, discussion Gynaecology,
exhibitionism, frotteurism, Necrophilia Psychiatry
FM5.1 Classify common mental illnesses including post-traumatic stress K K/KH Y Lecture, Small group Written/ Viva voce Psychiatry
disorder (PTSD) discussion
FM5.2 Define, classify and describe delusions, hallucinations, illusion, K K/KH Y Lecture, Small group Written/ Viva voce Psychiatry
lucid interval and obsessions with exemplification discussion
FM5.3 Describe civil and criminal responsibilities of a mentally ill person K K/KH Y Lecture, Small group Written/ Viva voce Psychiatry
discussion
FM5.4 Differentiate between true insanity from feigned insanity K K/KH Y Lecture, Small group Written/ Viva voce Psychiatry
discussion
FM5.5 Describe & discuss Delirium tremens K K/KH Y Lecture, Small group Written/ Viva voce Psychiatry, General
discussion Medicine
FM5.6 Describe the Indian Mental Health Act, 1987 with special reference K K/KH N Lecture, Small group Written/ Viva voce Psychiatry
to admission, care and discharge of a mentally ill person discussion
General Medicine
IM17.14 Counsel patients with migraine and tension headache on lifestyle A/C SH N DOAP session Skill Assessment Pharmacology Psychiatry
changes and need for prophylactic therapy
IM21.8 Enumerate the indications for p y

psychiatric consultation and describe K KH Y DOAP session Skill assessment Forensic Medicine,
the precautions to be taken in a patient with suspected suicidal Psychiatry
ideation / gesture
IM24.2 Perform multidimensional geriatric assessment that includes S SH Y Bedside clinic, DOAP Skill assessment Psychiatry
medical, psycho-social and functional components session
IM24.5 Describe and discuss the aetiopathogenesis,clinical presentation, K KH Y Lecture, Small group Written/ Viva voce Psychiatry
management and rehabilitation of depression in the elderly
215
SH/P to certify
P
IM24.7 Describe and discuss the aetiopathogenesis,clinical presentation, K KH N Lecture, Small group Written/ Viva voce Psychiatry
management and rehabilitation of personality changes in the
elderly
IM24.19 Enumerate and describe the social problems in the elderly including K KH Y Lecture, Small group Written/ Viva voce Psychiatry
isolation, abuse, change in family structure and their impact on discussion
health
Pediatrics
PE1.2 Discuss and describe the patterns of growth in infants, children and K KH Y Lecture, Small group Written/ Viva voce Psychiatry
Adolescents discussion
PE1.3 Discuss and describe the methods of assessment of growth K KH Y Lecture, Small group Written/ Viva voce Psychiatry
including use of WHO and Indian national standards. Enumerate discussion
the parameters used for assessment of physical growth in infants,
children and adolescents
PE1.5 Define development and discuss the normal developmental K KH Y Lecture, Small group Written/ Viva voce Psychiatry
milestones with respect to motor, behaviour, social, adaptive and discussion
language
PE5.4 Describe the clinical features, diagnosis and management of Breath K K N Lecture, Small group Written/ Viva voce Psychiatry
Holding spells discussion
PE5.5 Describe the clinical features, diagnosis and management of K K N Lecture, Small group Written/ Viva voce Psychiatry
Temper tantrums discussion
PE5.7 Describe the clinical features, diagnosis and management of Fussy K K N Lecture, Small group Written Psychiatry
infant discussion
PE5.10 Discuss the role of child guidance clinic in children with Behavioral K K N Lecture, Small group Written/ Viva voce Psychiatry
problems and the referral criteria discussion
PE6.2 Describe the physical , physiological and psychological changes K KH Y Lecture, Small group Written/ Viva voce Psychiatry
during Adolescence (Puberty) discussion
216
SH/P to certify
P
PE6.4 Describe Adolescent sexuality and common problems related to it K KH N Lecture, Small group Written/ Viva voce Psychiatry
discussion
PE6.5 Explain Adolescent Nutrition and common nutritional problems K KH Y Lecture, Small group Written/ Viva voce Psychiatry
discussion
PE6.6 Discuss the common Adolescent Eaing disorders ( Anorexia K KH N Lecture, Small group Written/ Viva voce Psychiatry
Nervosa, Biulimia) discussion
PE6.7 Describe the common mental health problems during K KH Y Lecture, Small Group Written/ Viva voce Psychiatry
Adolescence discussion
PE6.13 Enumerate the prevalence and the importance of recognition of K K N Lecture, Small group Written/ Viva voce Psychaitry
sexual drug abuse in adolescents and children discussion
Physical Medicine & Rehabilitation
PM 9.1 Describe rehabilative aspects as they pertain to the elderly including K KH Y Lecture, Small group Written/ Viva voce General Medicine,
patients with dementia, depression, incontinence immobility and discussion Psychiatry
nutritional needs
DR9.7 Enumerate and describe the complications of leprosy and its K KH Y Lecture, Small group Written / Viva voce General Medicine Pharmacology,
management, including understanding disability and stigma discussion Psychiatry
FM2.5 Discuss moment of death, modes of death- coma, asphyxia and K KH Y Lecture, Small group Written/ Viva voce Psychiatry Pathology
syncope discussion
FM3.14 SEXUAL OFFENCES K K/KH Y Lecture, Small group Written/ Viva voce / Obstetrics &
Describe and discuss the examination of the victim of an alleged discussion, Bedside OSCE Gynaecology,
case of rape, and the preparation of report, framing the opinion and clinic, DOAP session Psychiatry
preservation and despatch of trace evidences in such cases
217
Number COMPETENCY Domain Level Core Suggested
gg Teaching
g Suggested
gg Number Vertical integration
g Horizontal
SH/P to certify
P
FM3.15 SEXUAL OFFENCES K K/KH Y Lecture, Small group Written/ Viva voce / Obstetrics &
Describe and discuss examination of accused and victim of sodomy, discussion, Bedside OSCE Gynaecology,
preparation of report, framing of opinion, preservation and despatch clinic, DOAP session Psychiatry
of trace evidences in such cases
FM3.16 SEXUAL OFFENCES K K/KH Y Lecture, Small group Written/ Viva voce Obstetrics &
Describe and discuss adultery and unnatural sexual offences- discussion Gynaecology,
sodomy, incest, lesbianism, buccal coitus, bestiality, indecent Psychiatry
assault and preparation of report, framing the opinion and
preservation and despatch of trace evidences in such cases
218
DERMATOLOGY, VENEROLOGY AND LEPROSY (CODE: DR)
SH/P to certify
P
DERMATOLOGY, VENEREOLOGY & LEPROSY
Topic: Acne Number of competencies:(03) Number of procedures that require certificaion:(NIL)
DR1.1 Enumerate the causative and risk factors of acne K K Y Lecture, Small group Written/ Viva voce
discussion
DR1.2 Identify and grade the various common types of acne S SH Y Bedside clinic Skill assessment
DR1.3 Describe the treatment and preventive measures for various kinds of K K Y Lecture, Small group Written/ Viva voce
acne discussion
Topic: Vitiligo Number of competencies: (02) Number of procedures that require certificaion:(NIL)
DR2.1 Identify and differentiate vitiligo from other causes of hypopigmented S S Y Bedside clinic Skill assessment
lesions
DR2.2 Describe the treatment of vitiligo K K Y Lecture, Small group Written/ Viva voce
discussion
Topic: Papulosquamous disorders Number of competencies:(03) Number of procedures that require certificaion:(NIL)
DR3.1 Identify and distinguish psoriatic lesions from other causes K SH Y Bedside clinic Skill assessment/
Written/ Viva voce
DR3.2 Demonstrate the grattage test S SH Y Bedside clinic Skill assessment
DR3.3
DR3 3 Enumerate
E t the
th indications
i di ti for
f and d describe
d the various
ib th i modalities
d liti off K KH Y Lecture,
L t Small
S ll group Written/
W itt / Viva
Vi voce
treatment of psoriasis including topical, systemic and phototherapy discussion
Topic: Lichen Planus Number of competencies:(02) Number of procedures that require certificaion:(NIL)
DR4.1 Identify and distinguish lichen planus lesions from other causes S SH Y Bedside clinic Skill assessment
219
SH/P to certify
P
DR4.2 Enumerate and describe the treatment modalities for lichen planus K KH Y Lecture, Small group Written/ Viva voce
discussion
Topic: Scabies Number of competencies:(03) Number of procedures that require certificaion:(NIL)
DR5.1 Describe the etiology, microbiology, pathogenesis, natural history, K KH Y Lecture, Small group Written/ Viva voce Pediatrics
clinical features, presentations and complications of scabies in discussion
adults and children
DR5 2
DR5.2 Id tif and
Identify d differentiate
diff ti t scabies
bi ffrom other
th lesions
l i i adults
in d lt and
d S SH Y B d id clinic
Bedside li i Skill assessmentt P di t i
Pediatrics
children
DR5.3 Enumerate and describe the pharmacology, administration and K KH Y Lecture, Small group Written/ Viva voce Pediatrics Pharmacology
adverse reaction of pharmacotherapies for scabies discussion
Topic: Pediculosis Number of competencies : (02) Number of procedures that require certificaion:(NIL)
DR6.1 Describe the etiology pathogenesis and diagnostic features of K KH Y Lecture, Small group Written/ Viva voce Pediatrics Microbiology
pediculosis in adults and children discussion
DR6.2 Identify and differentiate pediculosis from other skin lesions in adults S SH Y Bedside clinic Skill assessment Pediatrics
and children
Topic: Fungal Infections Number of competencies: (03) Number of procedures that require certificaion:(NIL)
DR7.1 Describe the etiology, microbiology, pathogenesis and clinical K KH Y Lecture, Small group Written/ Viva voce Pediatrics Microbiology
p
presentations g
and diagnostic p y
features of dermatophytes in adults discussion
and children
DR7.2 Identify Candida species in fungal scrapings and KOH mount S SH Y DOAP session Skill assessment Microbiology
DR7.3 Describe the pharmacology and action of antifungal (systemic and K KH Y Lecture, Small group Written/ Viva voce Microbiology,
topical) agents. Enumerate side effects of antifungal therapy discussion Pharmacology
Topic: Viral infections Number of competencies (07) Number of procedures that require certification: (NIL)
220
SH/P to certify
P
DR8.1 Describe the etiology, microbiology, pathogenesis and clinical K KH Y Lecture, Small group Written/ Viva voce Pediatrics Microbiology
presentations and diagnostic features of common viral infections of discussion
the skin in adults and children
DR8.2 Identify and distinguish herpes simplex and herpes labialis from S SH Y DOAP session Skill assessment
other skin lesions
DR8.3 Identify and distinguish herpes zoster and varicella from other skin S SH Y DOAP session Skill assessment
lesions
DR8.4 Identify and distinguish viral warts from other skin lesions S SH Y DOAP session Skill assessment
DR8.5 Identify and distinguish molluscum contagiosum from other skin S SH Y DOAP session Skill assessment
lesions
DR8.6 Enumerate the indications, describe the procedure and perform a S SH Y DOAP session Skill assessment
Tzanck smear
DR8.7 Enumerate the indications and describe the pharmacology, K KH Y Lecture, Small group Written/ Viva voce Pharmacology
administration and adverse reaction of pharmacotherapies for discussion
common viral illnesses of the skin
Topic: Leprosy Number of competencies: (07) Number of procedures that require certificaion:(NIL)
DR9.1
DR9 1 Classify,
Classify describe the epidemiology, etiology, microbiology
epidemiology etiology microbiology, K KH Y Lecture,
Lecture Small group Written/ Viva voce General Medicine Microbiology,
Microbiology
pathogenesis, clinical presentations and diagnostic features of discussion Community Medicine
Leprosy
DR9.2 Demonstrate (and classify based on) the clinical features of leprosy S SH Y Bedside clinic Bedside clinic/ Skill General Medicine
including an appropriate neurologic examination assessment
DR9.3 Enumerate the indications and observe the performance of a slit S KH Y Bedside clinic, DOAP Written/ Viva voce
skin smear in patients with leprosy session
221
SH/P to certify
P
DR9.4 Enumerate, describe and identify lepra reactions and supportive K KH Y Lecture, Small group Written/ Viva voce General Medicine Pharmacology
measures and therapy of lepra reactions discussion
DR9.5 Enumerate the indications and describe the pharmacology, K KH Y Lecture, Small group Written/ Viva voce General Medicine Pharmacology,
administration and adverse reaction of pharmacotherapies for discussion Community Medicine
DR9.6 Describe the treatment of Leprosy based on the WHO guidelines K KH Y Lecture, Small group Written/ Viva voce General Medicine Pharmacology,
DR9.7 Enumerate and describe the complications of leprosy and its K KH Y Lecture, Small group Written/ Viva voce General Medicine Pharmacology,
management, including understanding disability and stigma. discussion Psychiatry
Topic: Sexually Transmitted Diseases Number of competencies: (11) Number of procedures that require certificaion:(NIL)
DR10.1 Identify and classify syphilis based on the presentation and clinical S SH Y Bedside clinic Skill assessment General Medicine Microbiology
manifestations
DR10.2 Identify spirochete in a dark ground microscopy S SH DOAP session Skill assessment Microbiology
Y
syphilis
DR10.4 Describe the prevention of congenital syphilis K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
DR10.5 Counsel in a non-judgemental and empathetic manner patients on C SH Y DOAP session Skill assessment General Medicine
prevention of sexually transmitted disease
DR10.6 Describe the etiology, diagnostic and clinical features of non- K KH Y Lecture, Small group Written/ Viva voce General Medicine Microbiology
syphilitic sexually transmitted diseases (chancroid, donovanosis and discussion
LGV)
222
SH/P to certify
P
DR10.7 Identify and differentiate based on the clinical features non-syphilitic S SH Y Bedside clinic Skill assessment General Medicine Microbiology
sexually transmitted diseases (chancroid, donovanosis and LGV)
indications and adverse reactions of drugs used in the non- discussion Microbiology
syphilitic sexually transmitted diseases (chancroid, donovanosis and
LGV)
DR10.9 Describe the syndromic approach to ulcerative sexually transmitted K KH Y Lecture, Small group Written/ Viva voce General Medicine
disease discussion
DR10.10 Describe the etiology, diagnostic and clinical features and K KH Y Lecture, Small group Written/ Viva voce General Medicine
management of gonococcal and non-gonococcal urethritis discussion
DR10.11 Describe the etiology, diagnostic and clinical features and K KH Y Lecture, Small group Written/ Viva voce Obstetrics &
management of vaginal discharge discussion Gynaecology
Topic: HIV Number of competencies: (03) Number of procedures that require certificaion:(NIL)
DR11.1 Describe the etiology, pathogenesis and clinical features of the K KH Y Lecture, Small group Written/ Viva voce General Medicine Microbiology
dermatologic manifestations of HIV and its complications including discussion
opportunistic infections
DR11.2 Identify and distinguish the dermatologic manifestations of HIV, its S SH Y Bedside clinic Skill assessment General Medicine Microbiology
complications, opportunistic infections and adverse reactions
dermatologic lesions in HIV
Topic: Dermatitis and Eczema Number of competencies: (07) Number of procedures that require certificaion:(NIL)
DR12.1 Describe the aetiopathogenesis of eczema K KH Y Lecture, Small group Written/ Viva voce
discussion
223
SH/P to certify
P
DR12.2 Identify eczema and differentiate it from lichenification and changes S SH Y Bedside clinic Skill assessment
of aging
DR12.3 Classify and grade eczema K KH Y Lecture, Small group Written/ Viva voce
discussion
DR12.4 Enumerate the indications and describe the pharmacology, K KH Y Lecture, Small group Written/ Viva voce
indications and adverse reactions of drugs used in the treatment of discussion
eczema
DR12.5 Define erythroderma. Enumerate and identify the causes of S KH Y Bedside clinic Written/ Skill
erythroderma. Discuss the treatment assessment
DR12.6 Identify and distinguish exfoliative dermatitis from other skin lesions S SH Y Bedside clinic Skill assessment
DR12.7 Identify and distinguish fixed drug eruptions and Steven Johnson S SH Y Bedside clinic Skill assessment General Medicine Pathology,
syndrome from other skin lesions Microbiology
Topic: Vesicubullous Lesions Number of competencies:(03) Number of procedures that require certificaion:(NIL)
DR13.1 Distinguish bulla from vesicles S SH Y Bedside clinic Skill assessment
DR13.2 Demonstrate the Tzanck test, nikolsky sign and bulla spread sign S SH Y Bedside clinic Skill assessment
DR13.3 Calculate the body surface area of involvement of vesiculobullous S SH Y Bedside clinic Skill assessment
lesions
Topic: Urticaria Angioedema Number of competencies: (05)   Number of procedures that require certificaion:(NIL)
DR14.1 Describe the etiology, pathogenesis and clinical precipitating K KH Y Lecture, Small group Written/ Viva voce Microbiology,
features and classification of Urticaria and angioedema discussion Pathology
224
SH/P to certify
P
DR14.2 Identify and distinguish urticarial from other skin lesions S SH Y Bedside clinic Skill assessment
DR14.3 Demonstrate dermographism S SH Y Bedside clinic Skill assessment
DR14.4 Identify and distinguish angioedema from other skin lesions S SH Y Bedside clinic Skill assessment
DR14.5 Enumerate the indications and describe the pharmacology K KH Y Lecture, Small group Written/ Viva voce Pharmacology
indications and adverse reactions of drugs used in the urticaria and discussion
angioedema
Topic: Pyoderma Number of competencies: (04) Number of procedures that require certificaion:(NIL)
DR15.1 Identify and distinguish folliculitis impetigo and carbuncle from other S SH Y Bedside clinic Skill assessment
skin lesions
DR15.2 Identify staphylococcus on a gram stain S SH Y Bedside clinic Skill assessment Microbiology
DR15.3 Enumerate the indications and describe the pharmacology, K KH Y Lecture, Small group Written/ Viva voce General Surgery Microbiology,
indications and adverse reactions of topical and systemic drugs discussion Pharmacology
used in treatment of pyoderma
DR15.4 Enumerate the indications for surgical referral S KH Y DOAP session Written/ Viva voce General Surgery
Topic: Collagen Vascular disease Number of competencies: (02) Number of procedures that require certificaion:(NIL)
See also major competencies listed in General Medicine
DR16.1 Identify and distinguish skin lesions of SLE S SH Y Bedside clinic Skill assessment General Medicine Pathology
225
SH/P to certify
P
DR16.2 Identify and distinguish Raynaud's phenomenon S SH Y Bedside clinic Skill assessment General Medicine Pathology
Topic: Nutritional Deficiencies and Skin Number of competencies: (04) Number of procedures that require certificaion:(NIL)
DR17.1 Enumerate and identify the cutaneous findings in vitamin A K/S SH Y Lecture, Small group Skill assessment/ General Medicine,
deficiency discussion, Bedside Viva voce Pediatrics,
clinic Biochemistry
DR17.2 Enumerate and describe the various skin changes in Vitamin B K KH Y Lecture Written/ Viva voce General Medicine,
complex deficiency Pediatrics,
Biochemistry
DR17.3 Enumerate and describe the various changes in Vitamin C K KH Y Lecture Written/ Viva voce General Medicine,
deficiency Pediatrics,
Biochemistry
DR17.4 Enumerate and describe the various changes in Zinc deficiency K KH Y Lecture, Small group Written/ Viva voce General Medicine,
discussion Pediatrics,
Biochemistry
Topic: Systemic diseases and the skin Number of competencies:(02) Number of procedures that require certification:(NIL)
DR18.1 Enumerate the cutaneous features of Type 2 diabetes K K Y Lecture, Small group Written/ Viva voce General Medicine
discussion
DR18.2 Enumerate the cutaneous features of hypo/hyper-thyroidism K K Y Lecture, Small group Written/ Viva voce General Medicine

Integration
226
SH/P to certify
P
Human Anatomy
AN4.2 Describe structure & function of skin with its appendages K KH Y Lecture, DOAP Written/ Viva voce Dermatology,
session Venereology &
Leprosy
AN4.4 Describe modifications of deep fascia with its functions K KH Y Lecture, DOAP Written/ Viva voce Dermatology,
session Venereology &
Leprosy
AN4.5 Explain principles of skin incisions K KH N Lecture Written Dermatology,

Venereology &
Leprosy
Pathology
PA34.1 Describe the risk factors, pathogenesis, pathology and natural K KH Y Lecture, Small group Written/ Viva voce Dermatology,
history of squamous cell carcinoma of the skin discussion Venereology &
Leprosy
PA34.2 Describe the risk factors, pathogenesis, pathology and natural K KH Y Lecture, Small group Written/ Viva voce Dermatology,
history of basal cell carcinoma of the skin discussion Venereology &
Leprosy
PA34.3 Describe the distinguishing features between a nevus and K KH N Lecture, Small group Written/ Viva voce Dermatology,
melanoma. Describe the etiology, pathogenesis, risk factors, discussion Venereology &
morphology,
morphology clinical features and metastases of melanoma Leprosy
PA34.4 Identify, distinguish and describe common tumors of the skin S SH N DOAP session Skill Assessment Dermatology,
Venereology &
Leprosy
Microbiology
227
SH/P to certify
P
MI4.3 Describe the etio-pathogenesis of Skin and soft tissue infections K KH Y Lecture Written/ Viva voce Dermatology,
and discuss the clinical course, and the laboratory diagnosis. Venereology &
Leprosy,
p y, General
Surgery
MI7.2 Describe the etio-pathogenesis and discuss the laboratory diagnosis K KH Y Lecture, Small group Written/ Viva voce Dermatology,
of sexually transmitted infections. Recommend preventive discussion Venereology &
measures, wherever relevant. Leprosy, Obstetrics &
Gynaecology
Pharmacology
PH1.46 Describe the mechanisms of action, types, doses, side effects, K KH Y Lecture Written/ Viva voce Dermatology, Microbiology
indications and contraindications of antileprotic drugs Venereology &
Leprosy
PH1.57 Describe drugs used in skin disorders K KH Y Lecture Written/ Viva voce Dermatology,
Venereology &
Leprosy
Pediatrics
PE31.4 Identifyy Atopic
p dermatitis and manage
g S SH Bedside clinics,, Skill Skill Assessment gy,
Dermatology,
Lab Venereology &
Leprosy
228
PHYSICAL MEDICINE & REHABILITATION (CODE: PM)
The student should be able to K/S/A/C K/KH/S (Y/N) Learning method Assessment method required Integration
H/P to certify
P
PHYSICAL MEDICINE & REHABILITATION
Topic: Introduction to Physical Medicine Number of competencies: (04) Number of procedures that require certification:(NIL)
PM1.1 Define and describe the scope of physical Medicine and K KH Y Lecture, Small group Written/ Viva voce
Rehabilitation and functional restoration discussion
PM1.2 Define and describe disability, its cause, and magnitude, K KH Y Lecture, Small group Written/ Viva voce General Medicine,
identification and prevention of disability discussion Orthopedics
PM1.3 Define and describe the methods to identify and prevent disability K KH Y Lecture, Small group Written/ Viva voce General Medicine,
PM1.4 Enumerate the rights and entitlements of differently abled persons K K Y Lecture, Small group Written/ Viva voce General Medicine,
Topic: Cerebrovascular accident Number of competencies: (04) Number of procedures that require certification:(NIL)
PM2.1 Describe the causes of disability in the patient with a K KH Y Lecture, small group Written/ Viva voce Human Anatomy General Medicine
cerebrovascular accident discussion
PM2.2 Describe and discuss the treatment of rigidity and spasticity K KH Y Lecture, Small group Written/ Viva voce General Medicine
discussion
PM2.3 Describe and disucss the principles of early mobilizations, mobility K KH Y Lecture, Small group Written/ Viva voce General Medicine
aids and splints discussion
PM2.4 Describe and discuss the impact of co-morbidities on the K KH Y Lecture, Small group Written/ Viva voce General Medicine
rehabilitation of the patient with cerebrovascular accident discussion
Topic: Cerebral Palsy Number ocompetencies: (07)   Number of procedures that require certification: (NIL)
PM3.1 Describe and discuss the clinical features, types, evaluation, K KH Y Lecture, Small group Written/ Viva voce Human Anatomy Pediatrics
diagnosis and management of cerebral palsy discussion
229
H/P to certify
P
PM3.2 Recognize, Describe and discuss the spectrum of multiple disability: K KH Y Lecture, Small group Written/ Viva voce Pediatrics
cognitive, motor, visual and hearing in cerebral palsy discussion
PM3.3 Recognize describe and discuss the role of special education in K K Y Lecture, Small group Written/ Viva voce Pediatrics
children with learning disabilities discussion
PM3.4 Demonstrate spasticity rigidity and dystonia in children with cerebral S SH Y DOAP session, Small Skill assessment Pediatrics
palsy group discussion,
Bedside clinic
PM3.5 Enumerate the indications and describe the therapies for spasticity K KH Y Lecture, Small group Pharmacology Pediatrics,
including medications, serial casts, nerve blocks, botulinum toxin discussion Orthopedics
injections
PM3.6 Enumerate the indications and describe prevention of joint K KH Y DOAP session, Small Pediatrics
subluxations and contractures by proper positioning, and use of group discussion,
special chairs, and appliances Bedside clinic
PM3.7 Enumerate the first aid measures to be used in patients with K K Y Lecture, Small group Written/ Viva voce Pediatrics
seizures discussion
Topic: Musculoskeletal system Number of competencies : (05)   Number of procedures that require certification: (NIL)
PM4.1 Describe the common patterns, clinical features, investigations, K KH Y Lecture, Small group Written/ Viva voce General Medicine,
diagnosis and treatment of common causes of arthritis discussion Orthopedics
PM4.2 Describe and discuss the principles of management of chronic pain K KH Y Lecture, Small group Written/ Viva voce Pediatrics
and role of common modalities (moist heat, ultrasound, Short wave discussion
diathermy)
PM4.3 Observe in a mannequin or equivalent the administration of an intra- S KH N DOAP session Skill assessment Orthopedics
articular injection
PM4.4 Describe the role of exercise as a therapeutic modality K KH Y Lecture, Small group Written/ Viva voce
discussion
230
H/P to certify
P
PM4.5 Demonstrate correct assessment of muscle strength and range of S SH Y DOAP session, Skill assessment General Medicine,
movements Bedside clinic Orthopedics
Topic: Amputation Number of competencies : (04)   Number of procedures that require certification: (NIL)
PM5.1 Enumerate the indications and describe the principles of amputation K KH Y Lecture, Small group Written/ Viva voce Orthopedics, General
discussion Surgery
PM5.2 Describe the principles of early mobilization, evaluation of the K KH Y Lecture, Small group Written/ Viva voce Orthopedics
residual limb, contralateral limb and the influence of co-morbidities discussion
PM5.3 Demonstrate the correct use of crutches in ambulation and postures S SH Y DOAP session, Skill assessment Orthopedics
to correct contractures and deformities Bedside clinic
PM5.4 Identify the correct prosthesis for common amputations S SH Y DOAP session Skill assessment Orthopedics
written
Topic: Lower motor neruon lesion Number of competencies :(04)   Number of procedures that require certification: (NIL)
PM6.1 Perform and demonstrate a clinical examination of sensory and S SH Y Bedside clinic Skill assessment General Medicine
motor deficits of peripheral nerve
PM6.2 Enumerate the indications and describe the principles of nerve K KH Y Lecture, Small group Written/ Viva voce General Medicine
conduction velocity and EMG discussion
PM6.3 Describe the principles principles of skin traction, serial casts and K KH Y Lecture, Small group Written/ Viva voce Orthopedics
surgical treatment including contracture release, tendon transfer, discussion
osteotomies and arthrodesis.
PM6.4 Describe the principles of orthosis for ambulation in PPRP K KH Y Lecture, Small group Written/ Viva voce Orthopedics
discussion
Topic: Spinal injury Number of competencies:(09)   Number of procedures that require certification: (NIL)
231
H/P to certify
P
PM7.1 Describe and discuss the clinical features, diagnostic work up and K KH Y Lecture, Small group Written/ Viva voce Orthopedics
management of spinal cord injury discussion
PM7.2 Describe and demonstrate process of transfer, application of collar S SH Y DOAP session, Small Skill assessment Orthopedics
restraints while maintaining airway and prevention of secondary group discussion,
injury in a mannequin/model Bedside clinic
PM7.3 Perform and demonstrate a correct neurological examination in a S SH Y Bed side clinic Skill assessment Orthopedics
patient with spinal injury and determine the neurologic level of injury
PM7.4 Assess bowel and bladder function and identify common patterns of S KH Y Small group Written/ Viva voce General Medicine,
bladder dysfunction discussion Orthopedics
PM7.5 Enumerate the indications and identify the common mobility aids S S Y DOAP session Skill assessment /Viva Orthopedics
and appliances, wheel chairs voce
PM7.6 Enumerate the indications and describe the pharmacology and side K KH Y Lecture, Small group Written/ Viva voce Pharmacology General Medicine
effects of commonly used drugs in neuropathic bladder discussion
PM7.7 Enumerate and describe common life threatening complications K KH Y Lecture, Small group Written/ Viva voce General Medicine,
following SCI like Deep vein Thrombosis, Aspiration Pneumonia, discussion Orthopedics
Autonomic dysreflexia
PM7.8 Enumerate the causes of, describe and classify Pressure K KH Y Lecture, Small group Written/ Viva voce General Surgery
Sores,their prevention, and treatment. discussion
PM7.9 Enumerate the indications of debridement, and Split thickness skin K KH Y Lecture, Small group Written/ Viva voce General Surgery
grafting. discussion
Topic: Traumatic brain injury (TBI) Number of competencies:(05) Number of procedures that require certification: (NIL)
232
H/P to certify
P
PM8.1 Describe the clinical features, evaluation, diagnosis and K KH Y Lecture, Small group Written/ Viva voce General Medicine,
management of disability following traumatic brain injury discussion Orthopedics, General
Surgery
PM8.2 Describe and discuss cognitive dysfunction like deficits in attention, K KH Y Lecture, Small group Written/ Viva voce General Medicine
memory and communication. discussion
PM8.3 Describe and discuss common behavior and mood changes K KH Y Lecture, Small group Written/ Viva voce General Medicine
following TBI. discussion
PM8.4 Describe metabolic co-morbidities like SIADH, diabetes mellitus, K KH Y Lecture, Small group Written/ Viva voce General Medicine
insipidus and endocrine dysfunction following TBI discussion
PM8.5 Describe the vocational opportunities and community based K KH Y Lecture, Small group Written/ Viva voce General Medicine
rehabilitation following TBI discussion
Topic: Geriatrics Number of competencies:(01) Number of procedures that require certification: (NIL)
PM 9.1 Describe rehabilative aspects as they pertain to the elderly including K KH Y Lecture, Small group Written/ Viva voce General Medicine,
patients with dementia, depression, incontinence immobility and discussion Psychiatry
nutritional needs

Integration
General Medicine
IM18.16 Enumerate the indications, describe and observe the S KH Y Lecture, Small group Written/ Viva voce Physical Medicine &
multidisciplinary rehabilitation of patients with a CVA discussion Rehabilitation
IM24.13 Describe and discuss the aetiopathogenesis,clinical presentation, K KH Y Lecture, Small group Written/ Viva voce Orthopedics, Physical
identification, functional changes, acute care, stabilization, discussion Medicine &
management and rehabilitation of falls in the elderly Rehabilitation
233
H/P to certify
P
IM24.16 Describe and discuss the principles of physical and social K KH Y Lecture, Small group Written/ Viva voce Orthopedics, Physical
rehabilitation, functional assessment, role of physiotherapy and discussion Medicine &
occupational therapy in the management of disability in the Rehabilitation
elderly
Pediatrics
PE3.8 Discuss the etio-pathogenesis, clinical presentation and multi- K KH Y Lecture, Small group Written/ Viva voce Physical Medicine &
disciplinary approach in the management of Cerebral palsy discussion, Bed side Rehabilitation
clinics
234
List of contributing subject Experts
1. Human Anatomy
 Dr. Praveen R Singh, Professor & Head, Department of Anatomy, Pramukhswami Medical College, Karamsad, Gujarat
 Dr. Nachiket Shankar, Associate Professor, Department of Anatomy, St. John’s Medical College & Hospital, Bangalore
2. Physiology
 Dr. Mario Vaz, Professor, Department of Physiology, St. John’s Medical College & Hospital, Bangalore
 Dr. Jayashree Sengupta, Former Professor & Head, Department of Physiology, All India Institute of Medical Sciences, New Delhi.
 Dr Hasmukh D Shah, Professor & Head, Department of Physiology, Pramukhswami Medical College, Karamsad, Gujarat
3. Biochemistry
 Dr. Nibhriti Das, Professor, Department of Biochemistry, All India Institute of Medical Sciences, New Delhi
 Dr. S. P. Singh, Professor, Department of Biochemistry, Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh
 Dr. Hitesh N Shah, Professor & Head, Department of Biochemistry, Pramukhswami Medical College, Karamsad, Gujarat
4. Pharmacology
 Dr. S. K. Maulik, Professor, Department of Pharmacology, All India Institute of Medical Sciences, New Delhi
 Dr. Vandana Roy, Professor, Department of Pharmacology, Maulana Azad Medical College, New Delhi

235

5. Pathology
 Dr. S. Datta Gupta, Professor, Department of Pathology, All India Institute of Medical Sciences, New Delhi
 Dr. Uma Chaturvedi, Professor, C-1303, Freedom Park Life, Sector- 57, Gurugram
6. Microbiology
 Dr. S. Geetalakshmi, Dean, Professor, Department of Microbiology, Stanley Medical College, Chennai, Tamil Nadu.
 Dr. Padma Srikanth, Professor, Department of Microbiology, Sri Ramachandra Medical College & Research Institute, Chennai
 Dr. Suman Singh, Professor, Department of Microbiology, Pramukhswami Medical College, Karamsad, Gujarat
7. Forensic Medicine & Toxicology
 Dr. Sanjeev Lalwani, Professor & Registrar (Academics), Department of Forensic Medicine, All India Institute of Medical Sciences, New Delhi
 Dr. T. D. Dogra, Former Director & Former Head, Department of Forensic Medicine, All India Institute of Medical Sciences, New Delhi; currently, Vice
Chancellor, SGT University, Gurugram
 Dr. S.D. Nanandkar, Professor & Head, Department of Forensic Medicine, Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai
 Dr. Indrajit L. Khandekar, In-charge CFMU and Associate Professor, Department of Forensic Medicine & Toxicology, MGIMS and Kasturba Hospital,
Sewagram, Wardha.
 Dr. S. B. Punpale, Professor & Head, Department of Forensic Medicine, B. J. Medical College, Pune, Maharashtra

236

8. Community Medicine
 Dr. B. S. Garg, Professor & Head, Department of Community Medicine, Mahatama Gandhi Institute of Medical Sciences, Wardha, Sewagram, Maharashtra
 Dr. Umesh Kapil, Professor, Department of Community Medicine, All India Institute of Medical Sciences, New Delhi
 Dr. Sanjay Zodpey, Director, Public Health Foundation of India, Isid Campus, 4 Institutional Area, Vasant Kunj, New Delhi
 Dr. Saudan Singh, Professor, Department of Community Medicine, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi
 Dr. Dinesh Kumar, Professor, Department of Community Medicine, Pramukhswami Medical College, Karamsad, Gujarat
9. General Medicine & Respiratory Medicine
 Dr. Krishna G. Seshadri, Visiting Professor, Endocrinology & Metabolism, Balaji Vidyapeeth, Puducherry
 Dr. M. K. Bhatnagar, Director Professor, Department of General Medicine, Lady Hardinge Medical College,
New Delhi
 Dr. Aparna Agarwal, Director Professor of Medicine, Lady Hardinge Medical College, New Delhi
 Dr. Anil Gurtoo, Director Professor of Medicine, Lady Hardinge Medical College, New Delhi
10. Pediatrics
 Dr. Harish Chellani, Professor of Pediatrics, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi
 Dr. A. K. Dutta, Former Head, Kalawati Saran Children's Hospital, New Delhi

 Dr. S. Aneja, Director Professor & Head, Department of Pediatrics, Kalawati Saran Children's Hospital, New Delhi
11. Psychiatry
237

 Dr. Rakesh Kumar Chadda, Department of Psychiatry, All India Institute of Medical Sciences, New Delhi
 Dr. N. M. Patil, Professor, Department of Psychiatry, Jawaharlal Nehru Medical College, Belagavi
 Dr. Rajesh Rastogi, Consultant & Head Department of Psychiatry, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi.
 Dr. Jagdish R Varma, Associate Professor, Department of Psychiatry, Pramukhswami Medical College, Karamsad, Gujarat
12. Dermatology, Venereology & Leprosy
 Dr. R. K. Gautam, Professor, Department of Dermatology, Venereology & Leprosy, Dr. Ram Manohar Lohia Hospital, New Delhi.
 Dr. Sujay Khandpur, Professor, Department of Dermatology, Venereology & Leprosy, All India Institute of Medical Sciences, New Delhi
 Dr. S. Murugan, Associate Professor of Dermatology, Sri Ramachandra Medical College & Research Institute, Chennai
13. Physical Medicine and Rehabilitation
 Dr. Sanjay Wadhwa, Professor, Department of Physical Medicine & Rehabilitation, All India Institute of Medical Sciences, New Delhi
 Dr. George Tharion, Head, Department of Physical Medicine & Rehabilitation, Christian Medical College, Vellore, Tamil Nadu
 Dr. Jagdish Menon, Professor & Head, Department of Orthopaedics and Dept. of Physical & Rehabilitative Medicine, Jawaharlal Institute of Postgraduate
Medical Education and Research, Pondicherry
14. General Surgery
 Dr. N Ananthakrishnan, 2A Vairam Enclave, Siddhananda Nagar, Pondicherry -605005.
238

 Dr. P. V. Chalam, Former Professor, Department of Surgery, Gandhi Medical College, Secunderabad, Telengana.

 Dr. Dinesh Bhatnagar, Professor, Department of General Surgery, North Delhi Municipal Corporation Medical College, Hindu Rao Hospital, Malka Ganj,
Delhi
15. Ophthalmology
 Dr. Smita Singh, Professor, Department of Ophthalmology, Mahatma Gandhi Institute of Medical Sciences, Wardha
16. Oto-rhino-laryngology
 Dr. Achal Gulati, Director Professor, Department of ENT, Maulana Azad Medical College, New Delhi
 Dr. Ravi Kumar, Professor & Head, Department of ENT, Sri Ramachandra Medical College & Research Institute, Chennai
 Dr. Suma Mathew, Professor, Department of ENT, Christian Medical College, Vellore, Tamil Nadu
17. Obstetrics and Gynaecology
 Dr. Neerja Bhatla, Professor, Department of Obstetrics & Gynecology, All India Institute of Medical Sciences, New Delhi
 Dr. Annie Regi, Professor & Head, Department of Obstetrics & Gynecology, Christian Medical College, Vellore, Tamil Nadu
 Dr. Usha Vishwanath, Professor, Department of Obstetrics & Gynecology, Sri Ramachandra Medical College & Research Institute, Chennai
18. Orthopaedics
 Dr. P.V. Vijayaraghavan, Vice Chancellor & Professor of Orthopedics, Sri Ramachandra Medical College & Research Institute, Chennai
 Dr. Raj Bahadur, Professor & Head, Department of Orthopaedics, Postgraduate Institute of Medical Sciences, Chandigarh
239

 Dr. SC. Goel, Professor, Department of Orthopaedics, Institute of Medical Sciences, BHU, Varanasi, Uttar Pradesh
19. Anaesthesiology
 Dr. Baljit Singh, Director Professor of Anaesthesia, G. B. Pant Hospital, Delhi
 Dr. Ramesh Keshav, Department of Anaesthesia, Dr. Ram Manohar Lohia Hospital, New Delhi
 Dr. Mridula Pawar, Consultant & Head, Department of Anaesthesia, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi
20. Radio- Diagnosis
 Dr. Kishor Taori (late), Professor & Head, Department of Radiodiagnosis, Government Medical College, Nagpur

21. Radiotherapy
 Dr. P. K. Jhulka, Dean & Professor of Radiotherapy, All India Institute of Medical Sciences, New Delhi.
 Dr. Shyam Shrivastava, Head, Department of Radiation, Tata Memorial Hospital, Mumbai
22. Dentistry
 Dr. Sridevi Padmanabhan, Professor, Department of Orthodontics, Faculty of Dental Sciences, Sri Ramchandra Medical College & Research Institute, Chennai

240

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MEDICAL COUNCIL OF INDIA

COMPETENCY BASED UNDERGRADUATE CURRICULUM FOR

Clinician Communicator Team Leader Professional Lifelong Learner

Medical Council of India

फैक्स /Fax : 0091‐11‐25367024 फेस-1, नई िदल्ली-110077

भारतीय आयुिवर्ज्ञान पिरषद के अिधबमण में शासी बोडर्

भारतीय आयुिवर्ज्ञान पिरषद के अिधबमण में शासी बोडर्

9. Dr. Sunita Y Patil

10. Dr. M. Rajalakshmi

Subject Legend Page No.

Competencies for the Indian Medical Graduate

Extract from the Graduate Medical Education Regulations, 2018

2. Objectives of the Indian Graduate Medical Training Programme

2.2. Institutional Goals

2. 3. Goals for the Learner

3. Competency Based Training Programme of the Indian Medical Graduate

3.3. Communicator with patients, families, colleagues and community

3.4. Lifelong learner committed to continuous improvement of skills and knowledge

Sr. No. Subjects Number of topics Number of outcomes

1. Human Anatomy 82 409

7. Forensic Medicine & Toxicology 14 162

Total 167 1118

Sr. No. Subjects Number of topics Number of outcomes

1. Community Medicine 20 107

2. General Medicine 26 506

6. Dermatology, Venereology & Leprosy 18 73

7. Physical Medicine & Rehabilitation 09 43

Total 129 1299

Sr. No. Subjects Number of topics Number of outcomes

1. General Surgery 30 133

4. Obstetrics & Gynaecology 38 126

Total 116 532

Description of competency Identifies if the

Identify the etiology of meningitis

Behavior - What should the learner be able to do?

PA42.3* Identify the etiology of meningitis based on K/S SH Y

PA42.3* Identify the etiology of meningitis based on given K/S SH Y

Short note or part of structured essay: Enumerate the components

Short note / part of the structured essay/ Skill station/ Viva

List the common microbial agents causing

Integrate concept - not necessarily teachers

MI2.2* Describe the morphology of agent (1,2 etc)

Describe the clinical course of infection by agent

Knowledge Skill Attitude/communicate

Explanation of terms used in this manual

KH Knows how A higher level of knowledge - is able to discuss or analyze

S Shows A skill attribute: is able to identify or demonstrate the steps

SH Shows how A skill attribute: is able to interpret/ demonstrate a complex

Competency based Undergraduate Curriculum

Column C: K- Knowledge, S – Skill, A - Attitude / professionalism, C- Communication.

Forensic Medicine & Toxicology

Dermatology, Venereology & Leprosy

Obstetrics & Gynaecology

IM7.12 Perform a systematic

IM9.19 Assist in a blood transfusion S SH Y Bedside clinic document in log book

IM26.48 Demonstrate altruism S SH Y Small group Written/ Viva voce

Column C: K- Knowledge, S – Skill, A - Attitude / professionalism, C- Communication.

PH1.25 Describe the mechanism/s of action,, types,

Forensic Medicine & Toxicology

Obstetrics & Gynaecology

OG12.2 Define,, Classifyy and describe the etiology,

Physical Medicine & Rehabiliation

Column C: K- Knowledge, S – Skill, A - Attitude / professionalism, C- Communication.